妇科腹腔镜附件手术115例临床分析  

CLINICAL ANALYSIS OF 115 GYNECOLOGIC ADNEXAL DISEASES PERFORMED UNDER LAPAROSCOPY

作　　者：杨大同[1] 夏恩兰[2] 

机构地区：[1]北京海淀医院,100080 [2]北京复兴医院,100038

出　　处：《中国内镜杂志》2002年第1期62-65,共4页China Journal of Endoscopy

摘　　要：目的 :总结妇科腹腔镜下附件手术的各种操作技术及其应用价值。方法 :回顾性分析 115例腹腔镜附件手术 ,包括异位妊娠 6 7例 ,各种卵巢囊肿 34例 ,黄体破裂 8例 ,炎性包块 3例 ,多囊卵巢综合征 3例。结果 :7例中途改开腹 ,10 8例在镜下完成 ,成功率 94%。术中 1例并发症 ,发生率 0 .86 %。术后无并发症 ,疗效10 0 %。输卵管妊娠的腹腔镜手术由 2 0 0 1年前的 2 5 .6 %增加到 6 0 .0 % ;卵巢囊肿的腹腔镜手术由 2 0 0 1年前的 2 4.8%增加到 6 0 .0 %。结论 :用腹腔镜手术治疗附件疾病安全有效 ,术后恢复快 。Objective:To summarize the clinical application of laparoscopic assisted surgery for adnexal disease.Methods:The skill of using laparoscopy for gynecologic adnexal disease operations is described in this paper based extensively on 115 cases of operation experiences,which sixty_seven were ectopic pregnancy,thirty_four were ovarian cysts,eight were rupture of corpus lutewn,three were inflammatory masses,and three were polycystic ovarian syndrome.Results:Seven patients were converted to laparotomy,but 108 operations were completed laparoscopically.The operations have shown a high success rate about 94%.The incidence of intraoperative complications was 0.86% and no post_operative complication was observed.Compared to the 25.6% before 2001,the percentage of laparoscopic surgery with ectopic pregnancy has dramatically increased to 60.0% in 2001.The percentage of laparoscopic surgery with ovarian cysts went up to 60.0% from 24.8 percent before 2001.Conclusions:Analysis results indicated that a satisfactory result is received from using the laparoscopic method in the gynecologic adnexal diseases operations.The analysis also shown that the laparoscopic surgery in treating adnexal diseases is an effective and safe way.The initial experience will help us to expand the application in other difficult gynecologic disease.

关 键 词：腹腔镜 妇科附件手术 临床分析 手术方法 

分 类 号：R713[医药卫生—妇产科学]