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作者对本院1980.3～1991.12间的516例妇科腹腔镜手术进行了临床分析。重点讨论了输卵管妊娠保守性手术、抽吸腹腔液体、盆腔粘连分离、多囊卵巢激光打孔等手术的操作体会以及卵巢活检后发生内出血及肠穿孔并发症的预防。认为具备整套有效的腹腔镜手术器械与设备是开展腹腔手术的必要条件。只要循序渐进、技术熟练、操作仔细,绝大部分腹腔镜手术并发症是可以避免的。腹腔镜下行卵巢单极高频电流电凝止血需慎重。阐述了腹腔镜手术较常规妇科剖腹手术损伤小,木后痛苦少、恢复快、腹壁无明显疤痕、在手术中还尽可能保留器官的生理功能等优点。所以,妇科腹腔镜手术值得推广。
The author of our hospital from 1980.3 to 1991.12 between 516 cases of gynecological laparoscopic surgery were analyzed. Focus on the tubal pregnancy conservative surgery, aspiration of peritoneal fluid, pelvic adhesions, polycystic ovary laser drilling operation experience and ovarian biopsy occurred after bleeding and intestinal perforation complications prevention. It is considered necessary to carry out abdominal surgery with an effective set of laparoscopic instruments and equipment. As long as gradual, skilled, careful operation, most of the complications of laparoscopic surgery can be avoided. Laparoscopic ovary unipolar high-frequency current coagulation hemostasis should be cautious. The laparoscopic surgery laparoscopic surgery laparotomy less injury, less pain after the wood, fast recovery, no significant abdominal scars in the surgery as much as possible to retain the physiological function of organs and so on. Therefore, gynecological laparoscopic surgery is worth promoting.