妇科腹腔镜手术的临床分析..docVIP

妇科腹腔镜手术的临床分析 】目的：总结妇科疾病腹腔镜手术的临床经验。 方法：回顾分析2 0 0 4年5月至2 0 0 6年8月1 4 6例 行腹腔镜手术的妇科疾病患者的临床资料，探讨腹腔镜下筋 膜内子宫切除术、卵巢囊肿/畸胎瘤剥除术、附件切除术、 子宫肌瘤切除术、输卵管造口通液术等手术方式。结果：患 者术后住院3?1 2d，常规使用抗生素3?5d，留置导尿 管6?2 4h。2例不孕症患者术后已足月分娩；1例阔韧 带肌瘤因质地硬、包膜界限不清、剥离过程中出血多而中转 开腹；3例切口感染，经用药后治愈；2例皮下气肿经处理 次日消失。结论：病例选择是腹腔镜手术成功的关键。术者 需经腹腔镜技能培训，有熟练开腹手术的经验和高超的腹腔 镜操作水平以及手术组协调配合。只要适应证掌握得当，大 部分妇科手术可在腹腔镜下完成，并可将并发症发生率降到 最低。 关键词】妇科疾病腹腔镜术应证 Laparoscopicsurgeryforgynecologicdis Laparoscopicsurger yforgynecologicdis eases： aclinicalana lysisof 146cases A bstract 】 0 bjective : Tosummarizethecli nicalexperiencesof copic：Aretrospectigynecologiclaparos nicalexperiencesof copic：Aretrospecti gynecologiclaparos veanalysiswasdonei nl46patientswithgynecologicdiseasesa nl46patientswithgy necologicdiseasesa cceptedlaparoscopi toAug. XX. Thelaparo dingintrafascialhy cystectomy,teratomectomy,myomectomy,csurgeryfromMay. XX scopicsurgeryinclu sterectomy,oophoro aenucleation,adnex andhydrotubationwe cceptedlaparoscopi toAug. XX. Thelaparo dingintrafascialhy cystectomy,teratom ectomy,myomectomy, csurgeryfromMay. XX scopicsurgeryinclu sterectomy,oophoro aenucleation,adnex andhydrotubationwe ndindwel1ingureter gamentmusculartumo nsurgerybecauesofh undaryandin2cases, nin3cases,andcutanseswereall：Strictc sisthekeypointoflashallbewe11trainedxperienceofopensur ticated’ smore,thee leoperationteamisa niscorrectlychoose ologicsurgerywould aparoscopy,butalso ndindwel1ingureter gamentmusculartumo nsurgerybecauesofh undaryandin2cases, nin3cases,andcutan seswereall：Strictc sisthekeypointofla shallbewe11trained xperienceofopensur ticated’ smore,thee leoperationteamisa niscorrectlychoose ologicsurgerywould aparoscopy,butalso rwasconvertedtoope ardtumor,obscurebo incisional infectio eousemphysemain2ca ontrolofindication paroscopicoperator andhavesufficiente geryaswellassophi s ooperationofthewho lsolongasindicatio d,notonlymostgynec bewellperformedbyl theincidenceofoper ativecomplicationw oulddecreasetomini mallevel. ndication XX年5月至XX年8月我院为146例妇科疾病