腹腔镜在宫腔镜手术中的监护作用  

Hysteroscopic surgery monitored by laparoscopy

作　　者：吴光明[1] 曹宇梅 朱司晨 董文哲 牟胜群[1] 张敏[1] 

机构地区：[1]济南市妇幼保健院妇产科,济南250001 [2]莱钢集团总公司医院妇产科

出　　处：《腹腔镜外科杂志》2003年第1期50-51,共2页Journal of Laparoscopic Surgery

摘　　要：目的 :探讨宫腔镜手术时腹腔镜监护的临床价值。方法 :电视腹腔镜监护下 ,为 6 4例高危患者行宫腔镜电切术。结果 :腹腔镜监护见盆腔并存病变 9例 ,术中局部浆膜起泡 2例 ,子宫不全穿孔 1例 ,术毕见子宫穿孔 1例 ,同时经腹腔镜处理。结论 :腹腔镜监护宫腔镜手术可及时发现子宫穿孔 ,并行腹腔镜下电凝止血及缝合 。Objective:To study the clinical value of laparoscopy in hysteroscopic surgery.Methods:64 cases with high risk procedures were made transcervical resection of endometrium (TCRE) under the monitoring of laparoscopy.Results:9 cases had complicated pelvic diseases,2 cases had serosa bubble and 1 case had incomplete uterine perforation. While the operation finished, 1 case was found uterine perforation and treated under laparoscopy.Conclusions:Hysteroscopic procedures monitored by laparoscopy can be used to find the uterine perforation,and coagulate bleeding and suture the cleft,impeding the incidence of uterine perforation effectively.

关 键 词：宫腔镜 腹腔镜 子宫穿孔 

分 类 号：R713.4[医药卫生—妇产科学]