103例女性节育术后慢性腹痛的腹腔镜诊治分析

An Analysis on the Use of Laparoscopy in Diagnosis and Treatment of 103 Cases of Chronic Abdominal Pain after Contraceptive Operations.

1989年3月～1994年5月我所用腹腔镜诊治女性节育术后慢性腹痛103例,其中绝育术后95例,放、取IUD术后5例,人工流产术后3例,腹腔镜检查腹腔正常7例(6.8％),异常96例(93.2％)。部分患者有一种以上的病变。腹腔异常以盆腔粘连为多77例(74.75％);大网膜粘连39例(37.86％);盆腔静脉瘀血15例(14.56％);肠粘连7例(6.8％);子宫内膜异位7例(6.8％);膀胱牵连5例(4.85％);盆腔、子宫壁异物各1例,其它3例。术中对较疏松的粘连进行分离松解共32例,对2例异物行异物取出术,解除了患者痛苦。本文认为腹腔镜诊治女性节育术后慢性腹痛有其特殊的意义。

103 cases of chronic abdominal pain aftercontraceptive operations were diagnosed andtreated with laparoscopy from March. 1989 toMay. 1994 in our institute. In those patients,95 cases were tubal sterilization, 5 were IUDinsertion or removal and 3 were induced abor-tion. The examine results showed that 7 caseswere normal (6. 8%), 96 were abnormal (93.2%). Some patients had two or more patho-logical changes. Among those changes, therewere 77 cases with pelvic adhesion (74.75%),39 cases with omentum adhesion (37.86%),15 with pelvic veins congestion (14.56%), 7with intestinals adhesion (6.8%), 7 with en-dometriosis (6. 8%), 5 with bladder adhesion(4. 85%), 1 with foreign body in pelvic cavityand 1 on uterine wall, 3 with other reasons.We used laparoscopy to seperate loose adhe-sion in 32 patients and take out foreign bodiesin 2 patients and thus relieved some patientspain. We think that the laparoscope has a spe-cial role in diagnosing and trealing femalechronic pain after contraceptive operations.