摘要
作者自１９９０年５月至１９９５年３月，在腹腔镜下应用特制微波组织治疗仪治疗多种妇科疾病２４０例。全部手术采用局部麻醉及表面麻醉。随诊１２～６８个月。结果：子宫内膜异位症１９３例，合并不孕８９例，术后妊娠５４例（６１％）；合并卵巢巧克力囊肿１０１例，术后囊肿消失７９例（７８％），总有效率９７％；主诉疼痛１６９例，术后疼痛完全缓解１１２例（６６％），总有效率９３％。４１例卵巢囊肿，８例输卵管妊娠及３例浆膜下子宫肌瘤亦均手术治愈，疗效满意，无手术并发症。局部麻醉用于妇科腹腔镜手术具有安全，并发症少，恢复快，费用低等优点。用微波治疗优点是可以凝固、止血并切割组织，烧灼准确、安全易行，疗效好。手术中不产烟，视野清楚，价格低廉。
Objective: To evaluate the treatment of gynecological diseases with microwave during laparoscopy Methods: From May 1990 to March 1995, 240 cases with gynecological diseases were treated with microwave under laparoscopy using specially designed tips. Cases include endometriosis 193, ovarian cysts 41, hydrosalpinx 10, tubal pregnancies 8 and subserous myoma of uterus 3. Operations were all performed under combined local anesthesia, intravenous dolantin and sublingual dihydroectorphine, infiltration anaesthesia with procaine for skin and fields of operation, and topical anaesthesia with dicaine 100mg for pelvic viscera. Endometriotic implants were cauterized with microwave and all cysts were punctured and enucleated. Salpingoplasty for hydrosalpinx, linear salpingostomy for tubal pregnancies and myomectomy can all be done successfully under microwave. Results: Patients were followed for 12￣68 months. Among 193 cases of endometriosis 89 with infertility, 54(61%) conceived after treatment. Among 101 cases with ovarian endometriomas, cysts disappeared in 79(78%),decreased in size in 19(19%) but no change in 3(3%) .Among 169 cases with pelvic pains, complete relief were achieved in 112(66%), partial relief in 45(27%), no change in 12(7%) after operations. All the patients with ovarian cysts, tubal pregnancies and subserous myomas of uterus were all successfully treated under laparoscopy. There were no complications. Conclusion: The advantages of laparoscopic operations under local anesthesia are obvious. Operative laparoscopy with microwave is efficient in cutting,coagulating and hemostasis. No smoke blur the vision.Trauma is superficial and pregnency rate following operation is high. The microwave generator is easier to operate and less expensive.
出处
《生殖医学杂志》
CAS
1996年第4期203-206,共4页
Journal of Reproductive Medicine
