摘要
目的：探讨腹腔镜在盆腔粘连松解术中的价值。方法：回顾性分析2001年1月至2007年10月105例因各种妇科疾病行腹腔镜手术中发现盆腔不同程度粘连患者的临床资料。镜下清除病灶的同时分离粘连,纠正不良盆腔解剖关系。结果：均在腹腔镜下顺利完成手术,无中转开腹。1例因肠管间广泛粘连而致分离中肠管破裂,在镜下以3-0可吸收肠线修补。手术时间30-150 min,住院3-15天。随访1-60个月,未有腹痛、腹胀等复发症状。有生育要求的65例中30例妊娠,妊娠率46.15%。结论：应用腹腔镜技术进行盆腔粘连松解手术效果肯定,镜下盆腔解剖功能的恢复有利于妊娠几率的提高。
Objective ：To investigate the role of laparoscope in pelvic adhesiolysis. Methods：The clinical data of 105 cases of pelvic cavity adhesion having received laparoscope-assisted gynecologic surgery from Jan. 2001 to Oct. 2007 were analyzed retrospectively. The lesion was cleared, the adhesion separated, and the bad pelvic corrected under the laparoscope. Results： Laparoscope-assisted gynecologic surgery was performed successfully in all the 105 cases. No conversion to open surgery was required. The intestinal canal of one case was ruptured for general adhesion of the bowels, which was repaired with absorbable catgut suture. The operation lasted from 30 -150 min and the hospital stay was 3 - 15 days. During the follow-up of 1 -60 months, no complication such as stomachache or abdominal distension was observed. Of the 65 patients desiring to have a child, 30 were pregnant （46. 15% ）. Conclusions： The technology of laparoscope-assisted surgery is effective for treatment of pelvic adhesiolysis, and the recovery of pelvic anatomical function may enhance pregnancy chances.
出处
《蚌埠医学院学报》
CAS
2009年第4期319-321,共3页
Journal of Bengbu Medical College
