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编号:10979960
开腹手术后再次手术选择腹腔镜手术59例临床分析
http://www.100md.com 《腹腔镜外科杂志》 2006年第2期
腹腔镜,,腹腔镜;再手术;剖腹术,1资料与方法,2结果,3讨论,参考文献:
     【摘要】 目的:探讨下腹部开腹手术后再次手术行腹腔镜手术的可行性。方法:回顾分析2002年3月至2005年3月下腹部手术后再次手术选择腹腔镜手术59例患者的临床资料。结果:仅1例双侧卵巢巧克力囊肿剥除术后复发盆腔严重粘连转开腹手术,余均在腹腔镜下完成手术。结论:术前经严格筛选及有熟练操作的妇科内镜医师前提下,下腹部有手术史再次手术行腹腔镜手术是可行的。

    【关键词】 腹腔镜;再手术;剖腹术

    Clinical exploration for 59 cases the second or third operation choosed laparoscopy after open abdomen

    DUAN Shejiao,WANG Aiyun,SUN Donglan.

    The Second Hospital of Jiaozuo,Jiaozuo 454001,China

    【Abstract】 Objective:To explore the possibility of the second or third operation choosed laparoscopy after open abdomen.Methods:From March 2002 to March 2005,the clinical data of 59 cases that the second or third operation choosed laparoscopy after open abdomen were analyzed retrospectively.Results:Only one recurrence after ovarian surgery converted open abdomen operation because of pelvic adhesion severely,58 cases finished laparoscopy completely.Conclusions:It is possible that the second or third operation choosed laparoscopy after open abdomen operation,but patients must be choosed strictly before laparoscopy and there are laparoscopic gynecologists working skilled. ......

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