微创医学

目的探讨悬吊式无气腹腹腔镜技术在妇科急腹症的临床应用。方法回顾分析应用悬吊式腹腔镜诊断和治疗妇科急腹症104例的临床资料，分析悬吊式腹腔镜手术应用于妇科急腹症的适用范围及应用价值。结果利用悬吊式腹腔镜对66例异位妊娠、21例黄体破裂、9例急性盆腔炎及8例卵巢囊肿蒂扭转者成功地进行手术治疗，其中输卵管切除术23例，附件切除术4例，输卵管开窗清除胚胎术43例，输卵管切开引流术5例，盆腔引流术2例，卵巢囊肿剔除术6例，以及卵巢电凝止血术21例，术后3～5 d痊愈出院。结论应用悬吊式无气腹腹腔镜诊断和治疗妇科急腹症是一种有效、实用、微创的方法。

【Abstract】 ObjectiveTo evaluate the clinical appilication of suspended laparoscopic surgery for gynecological acute abdomen. MethodsData of 104 Cases with gynecological acute abdomen treated by gasless abdominal walllifting laparoscopic surgery were reviewed. ResultsGasless abdominal walllifting laparoscopic surgery were employed to treat 66 cases of ectopic pregnancy, 21 cases of ruptured corpus luteum, 9 cases of acute pelvic infection and 8 cases of ovarian torsion, including 23 cases of oviduct excision,4 cases of accessory excision, 43 cases of oviduct excision followed by embryo elimination, 5 cases of incision and drainage of fallopian tubes, 2 cases of pelvic drainage, 6 cases of ovarian cyst divesting surgery and 21 cases of ovary electricity congeal hemostasis. All cases were discharged 3-5 days after operation. ConclusionGasless abdominal walllifting laparoscopic surgery is an effective, practical and minimally invasive method for diagnosis and treatment of gynecological acute abdomen.

ref