妇科腹腔镜手术383例分析

CLINICAL ANALYSIS OF GYNECOLOGICAL LAPAROSCOPY IN 383 CASES

目的探讨妇科腹腔镜的手术指征、手术方式和并发症。方法回顾性分析３８３例妇科腹腔镜诊断与手术的指征、手术方式和并发症。结果妇科腹腔镜手术占同期妇科总手术的１２．８％，其中腹腔镜诊断３１２例，腹腔镜手术７１例。以内凝、套扎、单极电凝等方法，完成输卵管切除、卵巢楔形切除、子宫肌瘤剥出等手术。结论①腹腔镜检查对患者机体损伤小、诊断价值高，但腹腔镜下手术应根据术者的熟练程度从严掌握适应证，以提高手术成功率；②单极电凝能够应用于盆腔操作，但应严格遵守７点规则；③腹腔镜手术切口虽小，但应重视切口的缝合。

ObjectiveTo study the indication,operative methods and complications of gynecologic laparoscopy.MethodsThe indication,operative methods and complications of gynecological laparoscopy in 383 cases were retrospectively analysed.ResultsThe rate of laparoscopy was 12.8 % among all gynecological operations in the same period.Among the 383 cases,312 cases were for diagnosis,71 cases were laparoscopic operations. Salpingectomy,salpingoovarietomy,ovariectomy and hysteromyomectomy were performed with endocoagulation electrocoagulation and nooseligature etc.Conclusion①The hurt of laparoscopy is insignificant and the diagnostic value is high in gynecology.The indication of laparoscopic operation should be selected strictly for more successful rate.②The electrocoagulation can be used for gynecologic laparoscopy,but seven regulations should be observed.③Incision of laparoscopic operation is small,but the suture should be careful.