宫腔镜联合腹腔镜手术在诊治妇科疾病中的临床应用价值.docVIP

精品论文 参考文献 宫腔镜联合腹腔镜手术在诊治妇科疾病中的临床应用价值 冯 丽（山东省泗水县妇幼保健院 山东济宁 273200） 　　【摘要】目的：探讨宫腔镜联合腹腔镜手术在诊治妇科疾病中的临床应用价值。方法：选取在笔者收治的应用单一腔镜治疗效果不好而具有宫、腹腔镜联合手术指征的患者共172 例，行宫腹腔镜联合手术，分别实施诊断和治疗。结果：本组患者手术时间45 ～ 290min，平均102．6min。手术进行均比较顺利，术中血压、脉搏均平稳，手术中出血平均lt;50mL，患者均未出现较明显并发症。其结果与术前诊断基本相符的150 例(87.21％ )。不符合或有新发现的22 例(22.79％ )。结论：宫腔镜与腹腔镜联合手术对于妇科疾病诊治具有重要的临床价值，随着其不断的完善将成为妇科临床上有效的诊治手段。 　　【关键词】宫腹腔镜联合手术；妇科疾病；临床应用；安全性【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-9753（2016）3-0026-02The clinical application of Gynecological laparoscopy hysteroscopy for gynecological diseases【Abstract】Objective: To investigate the clinical application of surgical hysteroscopy and laparoscopy in the treatment ofgynecological diseases. Methods: we selected patients with a total of 172 cases In our hospital applyed a single endoscopic treatmentis not good and has a palace, indications for laparoscopic surgery, palace laparoscopic surgery, namely the implementation of diagnosisand treatment. Results: The mean operative time of 45-290 min, average 102.6min. Surgery are relatively smooth, intraoperative bloodpressure, pulse are stable, bleeding hand average lt;50mL, appeared more pronounced in patients with no complications. The resultsare basically consistent with the preoperative diagnosis of 150 cases (87.21%). Does not meet or newly discovered 22 cases (22.79%).Conclusion: Hysteroscopy and laparoscopic surgery for the treatment of gynecological diseases has important clinical value, along withits continuous improvement will become clinically effective diagnosis and treatment of gynecological instruments.Key words：Palace laparoscopic surgery; gynecological diseases; clinical applications; security 　　近年来，随着宫腔镜以及腹腔镜技术的日益成熟，两种腔镜的联合手术应运而生。它是指应用宫腹腔镜同时实施宫腔内及盆腔内妇科疾病的诊断与治疗。联合手术与单一内镜诊治相比，实现了微创手术的优势互补，使患者只需经历一次麻醉、一期手术，就可以解决单纯腹腔镜或宫腔镜治疗不能同时诊治妇科疾病同时病变的问题[1]。在妇科疾病治疗中，宫腹腔镜联合手术应用范围很广，能治疗如不孕症、慢性盆腔疼痛、子宫内膜异位症、输卵管绝育、子宫肌瘤、子宫穿孔、痛经等多种妇科疾病[2]。 本研究选取近年来有手术指征的妇科疾病患者172 例，应用宫腹腔镜联合诊治，以探讨其治疗效果和安全性，现将有关结果分析报告如下：1 资料与方法1.1 一般资料 选择2010 年7 月至2015 年10 月治疗时间段内笔者在本院和进