摘要
目的探讨悬吊式无气腹腹腔镜技术在妇科急腹症的临床应用。方法回顾分析应用悬吊式腹腔镜诊断和治疗妇科急腹症104例的临床资料,分析悬吊式腹腔镜手术应用于妇科急腹症的适用范围及应用价值。结果利用悬吊式腹腔镜对66例异位妊娠、21例黄体破裂、9例急性盆腔炎及8例卵巢囊肿蒂扭转者成功地进行手术治疗,其中输卵管切除术23例,附件切除术4例,输卵管开窗清除胚胎术43例,输卵管切开引流术5例,盆腔引流术2例,卵巢囊肿剔除术6例,以及卵巢电凝止血术21例,术后3~5 d痊愈出院。结论应用悬吊式无气腹腹腔镜诊断和治疗妇科急腹症是一种有效、实用、微创的方法。
Objective To evaluate the clinical appilication of suspended laparoscopic surgery for gynecological acute abdomen. Methods Data of 104 Cases with gynecological acute abdomen treated by gasless abdominal wall-lifting laparoscopic surgery were reviewed. Results Gasless abdominal wall-lifting laparoscopic surgery were employed to treat 66 cases of ectopic pregnancy,21 cases of ruptured corpus luteum,9 cases of acute pelvic infection and 8 cases of ovarian torsion,including 23 cases of oviduct excision,4 cases of accessory excision,43 cases of oviduct excision followed by embryo elimination,5 cases of incision and drainage of fallopian tubes,2 cases of pelvic drainage,6 cases of ovarian cyst divesting surgery and21 cases of ovary electricity congeal hemostasis. All cases were discharged 3- 5 days after operation.Conclusion Gasless abdominal wall-lifting laparoscopic surgery is an effective,practical and minimally invasive method for diagnosis and treatment of gynecological acute abdomen.
出处
《微创医学》
2014年第6期698-699,704,共3页
Journal of Minimally Invasive Medicine
关键词
悬吊式无气腹腹腔镜
急腹症
妇科
suspended gasless method
laparoscopic surgery
acute abdomen
gynaecology
