腹腔镜在妇科急性腹痛病因诊断中的应用价值

Etiological diagnostic value of laparoscopy for female acute abdominal pain

目的探讨腹腔镜在妇科急性腹痛的病因诊断中的应用价值。方法回顾性分析了本院2003年7月至2005年10月131例妇科急性腹痛患者采用腹腔镜进行病因诊断与治疗的临床资料。结果输卵管妊娠破裂患者63例,出血性输卵管炎患者3例,卵巢囊肿扭转者13例,卵巢黄体破裂者8例,卵巢子宫内膜异位囊肿破裂者6例,卵巢妊娠破裂者3例,子宫穿孔者3例。残角子宫妊娠破裂者1例,继发性腹腔妊娠破裂者2例,急性盆腔炎者28例,盆腔腹膜结核者1例。结论腹腔镜可及时明确妇科急性腹痛病因、病变的部位及程度,是妇科急性腹痛病因诊断的首选方法。

Objective To investigate the etiological diagnostic value of laparoscopy for female acute abdominal pain. Methods We retrospectively studied the clinical data of 131 female patients with acute abdominal pain with laparoscopy diagnosis and therapy from July 2003 to October 2005. Results Sixty - three cases of ruptured tubal pregnancy,3 hemorrhagic salpingitis, 13 turn round of ovarian cyst ,8 ruptured corpus luteum of ovary,6 ruptured endometriosis cyst of ovary, 3 ruptured ovarian pregnancy, 3 perforation of uterus, 1 ruptured deformity uterogestation ,2 ruptured abdominal pregnancy ,28 acute pelvic inflammatory disease ,and 1 tuberculosis of pelvic peritoneum were diagnosed. Conclusion Using laparoscope is the first method of etiological diagnosis to find promptly the cause, position and degree of female acute abdominal pain.