复旦大学上海医学院妇产科学系2009级六年制妇产科学课件 Laparoscopy in Gynecology.ppt

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2019-05-06 发布于广东
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复旦大学上海医学院妇产科学系2009级六年制妇产科学课件 Laparoscopy in Gynecology.ppt

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Microinvasive technologies in Gynecology Microinvasive technologies 阴道镜 Colposcopy 宫腔镜 Hysteroscopy 腹腔镜 Laparoscopy 达芬奇手术 Robotic surgery 阴式手术 Vaginal surgery Laparoscopy in Gynecology History 1947 France: Raoul Palmer , first reported 250 cases of diagnostic laparoscopy 1972 Jordan Phillips, AAGL 1979 Phillips came to China， start diagnostic laparoscopy 1988 Harry Reich, 1st case LAVH 1990 Nezat, 1st case LRH 2006 Sert and Abeler ， daVinci RH LAP surgical devices 穿刺器 Trocar：10mm,5mm,12mm,15mm 镜头 Camera 显示器 Monitor 超声刀 Harmonic scalpel 持针器 Needle holder 双极电凝 Bipolar COAG 单级电刀 Monopolar COAG Laparoscopytraining Troca location Laparoscopy in Gynecology腹腔镜在妇科中的应用 Infertility Ectopic pregnancy Endometriosis Ovarian cyst Pelvic abscess Infertility: diagnostic or therapeutic laparoscopy Evaluation of causes for infertility Female Ovulatory dysfunction Tublal factors----indicated for LAP Uterine malformation Immunologic factors Male Semen analysis Follopian tube evaluation Hysterosalpingogram (HSG) Hysterosalpingogram (HSG) LAPAROSCOPY in INFERTILITY Ectopic pregnancy by LAP Endometriosis Ovarian endomerioma Deep infilatrated endometriosis(DIE) Peritoneal endometriosis Infertility caused by endometriosis Endometriosis　 Ultrosound examination Endometroma vs Teratoma Laparoscopy in gynecology oncology Re-know Pelvic Anatomy PALN Nerve sparing radical hysterectomy LAP-RH 单孔腹腔镜手术Single Port Laparoscopic Surgery 机器人手术 Robotic surgery Future：Single Port + Robotic 控制单孔和机器人的是医生的大脑！ Goals of Surgical Treatment Laparoscopy in Gynecology infertility endometriosis Ectopic pregnancy Ovarian cyst Pelvic absecess Gynecology tumor Pelvic dysfunction Obesity and Human Diseases Obesity has been implicated in the development of Type 2 diabetes Heart disease Stroke Hypertension Gallbladder disease Osteoarthritis Sleep apnea Asthma