妇科腹腔镜手术166例临床分析

To analysis the laparoscopic operation in the treatment of gynecologic diseases in 166 cases

目的探讨妇科腹腔镜手术的，渣床应用价值。方法应用腹腔镜手术技术治疗各种妇科常见病，如：异位妊娠、卵巢囊肿、子宫肌瘤、子宫肌腺症、不孕症等共166例，对术中出血、术后恢复情况进行分析。结果165例腹腔镜下顺利完成手术。1例子宫肌瘤患者行全宫切除术，腹腔镜操作困难，后行腹腔镜下结合阴式全宫切除术。结论腹腔镜手术具有损伤小、疼痛轻、恢复快、效果好、适应证广等优点，是目前最好的妇科微创手术方式之一，随着操作技术的熟练，更多的妇科各类手术将可在镜下施行。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases. Methods 166 cases diagnosed as ectopic pregnancy, ovarian cysts, hysteromyoma, endometrioma and infertility, were treated by laparoscopic operation, then to analyze the blood loss in operation and postoperative recovering. Results 165 cases were successfully operated by laparoscope. One case of endometrioma had the laparoscopic assisted vaginal hysterectomy（LAVH） while was hard to resect under laparoscope. Conclusion With the benefits that small injury, less pain, fast recovering, good effect, broad indications, laparoscopic operation is one of the best means of minimally invasive gynecological surgery. As the operation technique improves, more types of gynecological surgery will be operated by laparoscope.