妇科腹腔镜手术85例分析  

Analysis of 85 Cases of Pelviscopy

作　　者：濮德敏[1] 李豫峰[1] 罗丽兰[1] 黎宁[1] 林华[1] 

机构地区：[1]同济医科大学附属同济医院妇产科,武汉430030

出　　处：《华中科技大学学报（医学版）》1997年第S1期89-91,94,共4页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：对85例妇科住院患者行妇科腹腔镜手术治疗,包括腹腔镜子宫切除术、子宫肌瘤剔除术、附件切除术、卵巢肿瘤或巧克力囊肿剔除术、输卵管线形切开取胚术等。探索了腹腔内缝合、打结技术及组织取出方式。腹腔镜手术并发症为4.71％。中转剖腹率为3.53％,余者术后伤口预期愈合、康复出院。结论:腹腔镜手术可以代替大部分妇科经典手术,且损伤小、痛苦少,可较满意达到去除病变,保留器官功能的目的。但当腹腔镜手术出现难以解决的困难时,改行剖腹术是必要的。85 cases of hospitalized patients were performed pelviscopy, among which they were laparo- scopic hysterectomy, myomectomy, adnexectomy, ovarian or endometrial cystetomy, salpingotomy for re- moving embryo etc. During the performing the 85 cases, techniques of intraabdominal suture, knot and ways of taking out the removed tissue have been farther researched. The complication is 4.71%, open-laparoto- my, 3.53%. All the rest performed pelviscopy has fully recovering. Conclusion: pelviscopy achieves the pur- pose to get rid of lesion and to keep organ functions with slight injury. It can replace the most classical gyne- cological operations. If pelviscopy encounters unsolvable difficulties, prompt laparotomy be necessary.

关 键 词：腹腔镜术 生殖器疾病 女性 手术并发症 

分 类 号：R713[医药卫生—妇产科学]