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妊娠患者腹腔镜手术的安全性探讨
引用本文:王远菊,张洪文,李晓东. 妊娠患者腹腔镜手术的安全性探讨[J]. 中国内镜杂志, 2005, 11(12): 1313-1314
作者姓名:王远菊  张洪文  李晓东
作者单位:1. 河南焦作煤业集团中央医院,妇产科,河南,焦作,454150
2. 中南大学湘雅二医院,妇产科,湖南,长沙,410011
摘    要:目的探讨妊娠期腹腔镜手术的安全性。方法妊娠期妇女腹腔镜手术孕周小于24周。腹腔内的二氧化碳压力为10-12mmHg,呼气末CO2分压维持在32-35mmHg,手术中孕妇血氧饱和度维持在98%~100%。手术操作时间控制在30min左右。结果患者均无手术并发症,随访至足月,出生婴儿评分及体重无影响。结论孕周小于24周的患者,手术指征明确,严格控制手术时间,并注意手术中腹腔内的二氧化碳压力及孕妇血氧饱和度的监测,妊娠期进行腹腔镜手术是安全的。

关 键 词:腹腔镜 妊娠 孕龄 妇科手术
文章编号:1007-1989(2005)12-1313-02
收稿时间:2005-01-17
修稿时间:2005-01-17

Study on safety of laparoscope for gestational patients
WANG Yuan-ju,ZHANG Hong-wen,LI Xiao-dong. Study on safety of laparoscope for gestational patients[J]. China Journal of Endoscopy, 2005, 11(12): 1313-1314
Authors:WANG Yuan-ju  ZHANG Hong-wen  LI Xiao-dong
Affiliation:1. Department of Obstetrics and Gynecology, The Central Hospital of Coal Bureau, Jiaozuo, Henan 454150, P.R.China; 2. Department of Obstetrics and Gynecology, the Second Xiangya Hospital Affiliated Central South University, Changsha, Hunan 410011, P.R.China
Abstract:[Objective] To study safety of laparoscope for gestational patients. [Methods] Gestational age was shorter than 24 weeks, press of CO2 air 10-12 mmHg and expiration end press maintained 32-35mmHg while SaO2 98%-100% during operation. Time of laparoscopic operation was 30 mins. [Results] There were no complication in cases. Follow-up to term delivery, it did not affect Apgar grade and weight of newborn. [Conclusion] Laparoscopy was safety for gestational patients which gestational age was shorter than 24 weeks if the condition is well controlled during operation.
Keywords:laparoscope   gestation   gestational age   gynecological operation
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