科腹腔镜手术适应证的再探讨

Clinical Application of Laparoscopic Surgery in Gynecology

目的 :通过对腹腔镜手术治疗妇科疾病 4 4 7例的临床研究 ,进一步探讨妇科腹腔镜手术的适应证。方法 :回顾性分析 4 4 7例妇科腹腔镜手术病例 ,包括异位妊娠 (含IVF ET所致异位妊娠 )、子宫内膜异位症、子宫腺肌症、卵巢肿瘤、输卵管积水及堵塞、子宫肌瘤、急或慢性盆腔炎、子宫脱垂、卵巢黄体破裂、卵巢过度刺激综合征、多囊卵巢综合征、计划生育手术、先天性无阴道等。结果 :全部无手术死亡 ,镜下手术成功 4 34例 (97.0 9% ) ,中转开腹13例 (2 .91% ) ,并发症 8例 (1.79% ) ,手术时间 (72 .30± 2 .6 9)min ,术中出血 (88.30± 5 .6 9)ml,住院时间 (4 .97± 2 .0 2 )d。结论 :腹腔镜手术能安全有效地应用于各种妇科疾病 ,其手术适应证将不断扩大。

Objective: To further study indication of laparoscopic surgery in gynecology. Methods: 447 cases of laparoscopic surgery in gynecology were retrospectively analysed,including ectopic pregnancy,endometriosis,adenomyosis,ovarian tumor,myoma of uterus,pelvic inflammatory disease,prolapse of uterus,luteum rupture,OHSS,polycystic ovarian syndrome,birth control,congenital absence of vagina,et al. Results: There was no death,434 cases succeeded with laparoscopy,and 13 cases conversed to open surgery. Complications occurred in 8 patients. Mean operating time was (72.30±2.69) minutes,and mean bleeding was (88.30±5.69) ml,mean time in hospital was(4.97±2.02) days. Conclusion: Laparoscopic surgery is safe and effectively applied in gynecologic diseases,and can be used widely.