摘要
目的探讨电视腹腔镜治疗妇科急腹症的适应证、可行性、安全性及治疗效果.方法 2003年1月至2004年10月,应用电视腹腔镜治疗妇科急腹症165例,不同的疾病采用相应的手术方式,如输卵管的保守性手术、切除术、输卵管修补术、附件切除术及急性盆腔炎输卵管切开引流术.结果输卵管切除术19例,占11.5%;输卵管切开取胚术123例,占74.6%;输卵管内胚胎取出术6例,占3.6%.无一例中转开腹.手术时间40～145 min,平均(55±6.6)min.结论妇科急腹症采用电视腹腔镜手术可以及时诊断、及时治疗,预后良好.
Objective To investigate the efficacy and safety of laparoscopy in the treatment of hynecologic aucte pelvic pain. Methyls Laparoscopy was performed in 165 cases of acute pelvic pain between January 2003 and October 2004. Appropriate laparoscopic procedures were applied according to varieties of diseases,such as salpingectomy and salpingo-oophorectomy. Results Of the 165 cases, 19 （11. 5 % ） were laparoscopec salpingectomy, 123 （ 74.6 % ） were laparoscopic linear salpingectomy, 6 （3.6 % ） were laparoscopic tubal abortion, 2 （ 1.2 % ） were laparoscopic ovarian pregncy resection,6 （3.6 % ） were laparoscopic ovarian repair, 5 （3.0 % ） were laparoscopic pelvic abscess aspiration and washing, and 4 （2.4 % ） were salpingo-oophorectomy. All cases were completed laparoscopically. The operative time ranged from 40 to 145 minutes（mean ± SD,55 ± 6.6 minutes）. Conclusion Laparoscopy may be an effective approach to the diagnosis and treatment of gynecological acute pelvic pain.
出处
《中国基层医药》
CAS
2005年第8期990-991,共2页
Chinese Journal of Primary Medicine and Pharmacy
