·论著·电视的腹腔镜手术在妇科领域的应用探讨(附307例报告).pdf

文章编号 :1001 - 5949 - (2001) 03 - 0145 - 03 ·论　著· 电视腹腔镜手术在妇科领域的应用探讨 (附 307 例报告) 包生武 ,于 　华 ,姚立岩 ,张洪伟 ,范岫杰 ,朱莲萍 ,吴海玲 【摘要】　目的 　探讨电视腹腔镜手术在妇科领域的应用范围及价值。方法 　对采用电视腹腔镜手术技术的 307 例妇科手术进行总结分析 ,探讨其在本地区的应用价值、前景、手术适应症、并发症、各类妇科手术的方法等。 结果 　本组 307 例患者中有 298 例 (97. 1 %)在电视腹腔镜下顺利完成手术 ,手术时间平均 2 小时 16 分 ,并于 4～7 天痊愈出院。主要的并发症 (本组发生率为 17. 4 %) 有腹腔内出血、术后肛门坠胀、腹部皮下气肿、肩胛区疼痛等。 另有 9 例 (2. 9 %)因各种原因术中改为开腹完成手术。结论 　电视腹腔镜手术在妇科领域有着十分广阔的应用前 景和价值 ,它具有损伤小、盆腔粘连少、病人痛苦少、恢复快、住院时间短、兼诊断治疗于一体等诸多优点 ,值得大力 推广应用。 【关键词】　腹腔镜检查 ;妇科疾病 ;手术 【中图分类号】　R711. 7 　　【文献标识码】　A The study of the television celioscope operation of application in Department of gynecology ( and 307 cases summing - up report) BA O S heng - w u , YU Hua , YA O L i - yan , et al . (Maternity and Children Health Hosp . of Yinchuan , NingXia 750001 ,Chi2 na) 【Abstract】　Objectives 　To study the scope and value of television celioscope operation of application in department of gynecolo2 gy. Mehtods 　Summing - up and analysing 307 cases department of gyneclolgy operation by the television celioscope since 7 years , studying its value future、operation indication、complication、operation methods of application in department of gynecology. Results 　In 307 cases ,298 cases had been completed operation by television celioscope successfully. The success rate was 97. 1 %. The operation av2 erage time continued 2 hours and 16 mintues. They all and left hospital in 4～7 days. The primary complication comprised haemorrhage withinabdominal cavity、anus falling and bulge、emphysema under skin in abdomen、backache et al. The rate of complication was 17. 4 %. another 9 cases(2. 9 %) had to been opened abdominal for other reasons. Conclusions　The television celioscope operation has very wide value and future of application in department of gynecology. It had little damage、few adhesion within abdomion cacity、little pain and fast renewal for patiets、the time shorter of being in hospital ,it has the advantage both diagnoses and treat , It deserve wide applica2 tion. 【Key words】　Perit