腹腔镜妇科手术60例临床分析

Clinical analysis of gynecological laparoscopic operation in 60 cases

目的 :探讨腹腔镜手术在诊治妇科疾病的临床价值。方法 :回顾分析腹腔镜妇科手术 6 0例的临床资料。结果 :卵巢囊肿切除术 4 1例 ,子宫肌瘤切除术 7例 ,输卵管妊娠手术 5例 ,子宫切除术 3例 ,子宫附件切除术 3例 ,腹腔镜探查术 1例。术后皮下瘀血 2例 ,皮下气肿 1例 ,总并发症率为 5 %。结论 :腹腔镜手术治疗妇科良性疾病具有创伤小、疼痛轻、恢复快等优点 ,但需降低手术并发症率。

Objective:To explore the clinical value of gynecological laparoscopic operation.Methods:60 cases of gynecological laparoscopic operation were analyzed retrospectively.Results:Laparoscopic operation included ovarian cystectomy(n=41),myomectomy(n=7),operation for tubal pregnancy(n=5),hysterectomy(n=3),uterine adnexectomy(n=3),laparoscopic exploration(n=1). Postoperative complication included ecchomosis(n=2),subcutaneous emphysema(n=1). The total complication rate was 5%.Conclusions:Laparoscopic operation can be used in majority of gynecological benign diseases, it has advantages of minimal wounding, slight pain and short hospitalization,but it should be reduced the complications.