宫腔镜、腹腔镜临床联合应用体会

Clinical Combined Application Experience about Hysteroscopy and Laparoscopy

目的:探讨宫腔镜、腹腔镜联合应用技术在治疗妇科疾病方面的优势。方法:对80例应用宫腹腔镜联合手术的适应证和并发症的患者进行临床分析。结果:80例患者共实施手术105项,其中子宫粘膜息肉电切除术10例,子宫粘膜下肌瘤电切除术28例,子宫内膜切除术12例,子宫不全纵隔电切除术7例,子宫浆膜下肌瘤剔除术5例,卵巢畸胎瘤剔除术3例,输卵管系膜囊肿切除术11例,盆腔子宫内膜异位症电灼术8例,盆腔粘连松解、输卵管粘连松解、造口术及美蓝通液术21例。所有患者均未出现手术并发症。结论:宫腔镜、腹腔镜可联合应用于妇科临床手术,同时实施宫腔内与盆腔疾病的诊断与治疗,提高了手术的疗效和安全性。

Objective：To study hysteroscopy, laparoscopy combined application technology in the treatment of gynecological diseases advantages. Methods：from 2009November - 2011 year in November 80 patients application of hysteroscopy combined with laparoscopy operation indications, distribution and complication clinical analysis. Results： 80 cases were treated with operation105, wherein the uterine mucosal polyp resection in 10 cases; submucous myoma of uterus resection in 28 cases; endometrial resection in 12 cases; incomplete uterine septum electric resection in 7 cases; suhserous myoma of uterus excision in 5 cases;3 cases of ovarian teratoma resection; fallopian tube mesenteric cyst resection in 11 cases; pelvic endometriosis fulguration in 8 cases; pelvic adhesions, tubal adhesions, ostomy and methylene blue liquid in 21 cases. All patients had no operation complication. Conclusion： hysteroseopy, laparoscopy can be combined application in clinical gynecology operation, at the same time the implementation of the uterine cavi ty and pelvic disease diagnosis and treatment, increase the efficacy and safety of operation.