妇产科腹腔镜手术171例临床分析

目的:探讨腹腔镜手术在妇产科疾病手术治疗中的临床应用价值及应用范围,总结妇产科疾病腹腔镜手术的临床经验。方法:回顾分析2004年5月～2009年8月171例行腹腔镜手术的妇产科疾病患者的临床资料,探讨腹腔镜手术的手术方式及并发症。结果:患者术后住院3～12天,常规使用抗生素3～5天,留置导尿管6～24小时。2例不孕症患者术后已足月分娩;1例阔韧带肌瘤因质地硬、包膜界限不清、剥离过程中出血多而中转开腹;5例切口感染,经用药后治愈;4例皮下气肿经处理次日消失。结论:病例选择是腹腔镜手术成功的关键。术者需经腹腔镜技能培训,有熟练开腹手术的经验和高超的腹腔镜操作水平以及手术组协调配合。腹腔镜手术在临床的应用将会越来越广泛。

Objective： Explore laparoscopic surgery surgical treatment by obstetrical and gynecological diseases in the clinical value of universality and application. To summarize the clinical experiences of gynaecologic and obstetrics laparoscopic surgery. Method： A retrospective analysis was done in 171 patients with gynecologic and obstetrics diseases accepted laparoscopic surgery from May. 2004 to Aug. 2009. Discusses the ways and laparoscopic surgery complications. Results： The duration of hospitalization was 3 - 12d, routine antibiotics application was 3 - 5d, and indwelling ureter was 6 - 24h. 1 case of broad ligament muscular tumor was converted to open surgery becaues of hard tumor,obscure boundary and bleeding. Barrenness in 4 cases, incisional infection in 5 cases, and cutaneous emphysema in 2 cases were all cured. Conclusions：Strict control of indications is the key point of laparoscopic surgery. The operator shall be well trained and have sufficient experience of open surgery as well as sophisticated level. What＇s more, the cooperation of the whole operation team is also important. Laparoscopic surgery in clinical applications will be more and more widely.