妇科病；腹腔镜手术_____]妇科病；腹腔镜手术

妇科电视腹腔镜手术123例分析

http://www.100md.com 《东南国防医药》 2004年第1期

妇科病；腹腔镜手术,,]妇科病；腹腔镜手术,1临床资料,2结果,3讨论,参考文献

     [摘要]目的探讨电视腹腔镜手术在妇科疾病中的应用价值。方法回顾性分析123例妇科腹腔镜手术病例，主要包括输卵管切开胚胎取出术、输卵管切除术、输卵管造口术、盆腔肿物切除术、子宫切除术、子宫肌瘤剔除术和盆腔粘连松解术等15种手术。结果成功完成腹腔镜手术119例(967%)，4例中转开腹(33%)，并发症3例(25%)，手术时间(7856±3272)min，术中出血(638±273)ml。结论腹腔镜手术创伤小，出血少，恢复快，并发症少，能有效地应用于各种妇科疾病。

    [关键词]妇科病；腹腔镜手术

    Analysis of 123 cases of gynecologic laparoscopic surgery

    YUAN Qiaoling, PAN Lingyun, CHEN Wenling, et al. Department of Obstetrics and Gynecology, the 94th Hospital of PLA, Nanchang 330002, Jiangxi,China

    [Abstract]ObjectiveTo explore the clinical value of laparoscopic surgery in gynecopathy.Methods123 cases of laparoscopic surgery in gynecopathy were analyzed retrospectively, including salpingotomy, salpingectomy, salpingostomy, enucleation of pelvic masses, CISH, remoral of hysteromyoma, lysis of pelvic adhesions 15 kinds. Results119 cases successed with laparoscopy, 4 cases were converted to laparotomy and complications occurred in 3 cases. Mean operating time was (78.56±32.72)min. Mean bleeding was (63.8±27.3)ml. ConclusionsThe gynecologic laparoscopic surgery has many advantages, such as less lesion, bleeding less, recovery rapidly, less complications and can be used effectively in gynecologic diseases. ......

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