63例妇科急腹症的腹腔镜手术治疗分析

Therapeutic Analysis of Abdominal Speculum Operation to 63 Cases Department of Gynecology Acute Abdomen

目的探讨腹腔镜在妇科急腹症的治疗效果。方法对63例妇科急腹症患者，采用常规的三孔操作法进行腹腔镜手术治疗。结果63例除3例术后出现腹壁皮下气肿，2例腹壁穿刺孔血肿外，无其他并发症，切口愈合良好，术后5～7d出院，平均住院时间（5．3±1．7）d；异位妊娠患者术后随访1个月，无1例发生持续性异位妊娠。结论腹腔镜是治疗妇科急腹症的有效的手术方法。

Objective To investigate the therapeutic efficacy of abdominal speculum in department of gynecology acute abdomen. Methods 63 cases patients with department of gynecology acute abdomen were adopted routine tri-bore manipulation method to carry out laparoscopic operation therapy. Results Except from 3 cases postoperation appearing abdominal wall subcutaneous emphysema and 2 cases appearing abdominal wall punctured hole hematoma, none other of 63 cases appeared complication, and wound healing of all patients were well, 5-7 days of postoperation left hospital, average stay （5.3 ± 1.7）d; Ectopic pregnancy patients postoperation followed up 1 month, none case generated continuitic ectopic pregnancy. Conclusion Abdominal speculum is a effective operation method to department of gynecology acute abdomen.