腹腔镜在妇科急腹症中的应用分析

Analysis of laparoscopic operation in treatment of gynecologic acute abdomen

目的探讨腹腔镜手术治疗妇科急腹症的适应症、价值及安全性。方法对2004年6月￣2005年2月间的72例妇科急腹症患者,应用腹腔镜手术情况进行回顾分析。结果72例妇科急腹症患者均在腹腔镜下顺利完成手术,有生育要求的患者均保留了输卵管,无术中及术后并发症。结论妇科急腹症时应用腹腔镜技术有诊断治疗双重价值。腹腔镜手术能减少患者的痛苦,缩短住院时间,用氨甲喋吟(MTX)能起到预防持续性异位妊娠的效果。急诊腹腔镜手术治疗休克型及少见异位妊娠也是安全可行的。

[Objective] To study of the indications and the values and the safety of laparoscopic operation in the treatment of gynecologic acute abdomen. [Method] 72 cases of gynecologic acute abdomen were analysed retrospectively from June 2004 to Febraury 2005 by laparescopic operation. [Result] The operation was performed on 72 cases of gynecologic acute abdomen by laparoscopy without complications, eetopic pregnancy patients who want to fertilize exert conservative operation.[Conclusion] Laparoscopy have diagnose and cure effect for gynecologic acute abdomen, can lessen patients suffering, decrease the hospital days. Use MTX to prevent persistent ectopic pregnancy, the effect is reliable. The emergency laparescopic operation is safe and feasible for ectopic pregnancy with hypovolemic shock or rare ectopic pregnancy.