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自60年代,腹腔镜已再用于妇科、作盆腔诊断活检和简单手术。近3年,早期人工流产增多,子宫器械性穿孔也相对增加,因而腹腔镜应用的指征扩大于器械性子宫穿孔的处理。这种子宫穿孔常可伴有大量出血,肠管损伤或流产不全继发感染,应积极处理。为了避免延误子宫出血或肠管损伤的诊断常行开腹手术。经验证明若疑为子宫穿孔,立即停止流产,大多数病人常是不需要开腹的。开腹所见肠管通常是完整的或有浅表的血肿或擦伤。穿孔位于中线遂不出血,若在侧
Since the 60’s, laparoscopy has been reused in gynecology for pelvic biopsy and simple surgery. The past three years, an increase of early induced abortion, uterine mechanical perforation is also relatively increased, so the indications for laparoscopic application expanded in the treatment of uterine uterine perforation. This uterine perforation often accompanied by a large number of bleeding, bowel injury or incomplete infection secondary to infection, should be actively addressed. In order to avoid delays in the diagnosis of uterine bleeding or bowel injury, laparotomy is performed routinely. Experience has proved that if the suspected uterine perforation, abortion immediately stopped, most patients often do not need to open the abdomen. The intestine seen open is usually complete or superficial hematoma or abrasion. Perforation in the midline then no hemorrhage, if on the side