探讨宫腔镜与腹腔镜联合手术治疗妇科疾病的临床价值.docxVIP

探讨宫腔镜与腹腔镜联合手术治疗妇科疾病的临床价值 商彩霞(东营市第二人民医院妇科 257335) 【摘要】目的 探讨宫腔镜与腹腔镜联合手术治疗妇科疾病的临床价值。方法 回顾性分析2010年10月?2012年10月在我院应用宫腔镜与腹腔镜联合诊治75 例妇科疾病患者临床资料。结果75例患者共施行97项手术，手术时间为30? 120min,所有患者6h后拔除导尿管，均在24 h内恢复肛门排气，无子宫穿孔、 邻近脏器损伤及术后感染等并发症发生；出院后门诊随访3?22个月，28例不 孕症患者术后妊娠口例，妊娠率39.3%,宫外孕1例；纵膈子宫7例获随访， 足月妊娠3例、自然流产1例。结论 宫腔镜与腹腔镜联合手术可同时诊断治疗 宫腔与盆腔内的疾病，具有创伤小、恢复快、并发症少等优点，在腹腔镜监护下 行宫腔镜操作，可大大提高疾病诊断的准确性及治疗的有效性、手术的安全性, 值得临床广泛应用。 【关键词】宫腔镜腹腔镜联合手术妇科疾病 【中图分类号】R713 【文献标识码】A 【文章编号】2095-1752 (2013) 24-0094-02 [Abstract] Objective Hysteroscopy and laparoscopy combined with the clinical value of surgical treatme nt of gyn ecological diseases. Methods A retrospective analysis from October 2010 to October 2010 in our hospital application of diagnosis and treatment of hysteroscopy and laparoscopy combined with clinical data of 75 cases of gynecologic disease patients. Asaresult 75 patients surgery time is 30 ~ 120 min, urethral catheter after 6 h, all patients were in recovery within 24 h of anus exhaust, uteri ne perforati on, adjace nt viscera in juries and complications such as postoperative infecti on occurred; Outpatient follow-up of 3 ~ 22 mon ths, 28 cases of in fertility patie nts with postoperative preg nancy 11 cases, The preg nancy rate of 39.3%, Ectopic pregnancy in 1 case; Mediastinum uterus 7 cases received Combination of hysteroscopy and laparoscopy surgery of uterine cavity and pelvic disease diagnosis and treatment at the same time, with little trauma, quick recovery, less complications advantages, In laparoscopic monitoring downward hysteroscopy operation, can greatly improve the accuracy of disease diagnosis and treatment is effective, operation safety, has become an important means of treatment of gyn ecological diseases. 【Key words] Hysteroscopy laparoscopic Joint operation Gynecologic diseases 近年来，随着宫腔镜与腹腔镜技术在妇科临床上的广泛应用，内镜技术 在妇科疾病诊断及治疗中的应用日趋普及和提高，为诊断和治疗妇科疾病开辟了 新途径⑴。宫腔镜与腹腔镜联合手术是指一次手术过程中同吋进行检查，以迅 速明确宫腔和盆腔病变的诊断，确定治疗方案；同时避免了患者因再次手术带来 的麻烦与痛苦，充分体现了微创手术的优越性⑵。 本文笔者应用宫腔镜与腹腔镜联合诊治75例妇科疾病患者，取得了满意的临床 效果，现