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目的探讨妇科再次手术中腹腔镜的临床应用。方法选择2009年1月至2012年1月非复杂性既往有开腹手术史的患者40例,均为女性,平均年龄(34.7±2.5)岁,均采用腹腔镜再次手术治疗,回顾分析其临床资料。结果 40例子宫全切除组平均手术时间为(121.0±3.5)min,附件手术组为(67.0±4.8)min。术后出现较重皮下气肿2例,经处理后消失。无一例中转开腹及手术损伤。结论临床妇科对既往有非复杂性开腹手术史的患者行腹腔镜治疗具有一定的安全性,需对操作技巧娴熟掌握,以提高手术成功率,改善患者生活质量。
Objective To investigate the clinical application of laparoscopy in reoperation of gynecology. Methods From January 2009 to January 2012, 40 patients with non-complicated history of open surgery, all of whom were female, average age (34.7 ± 2.5) years old, were treated with laparoscopic reoperation. The clinical data data. Results The average operation time of 40 cases of hysterectomy was (121.0 ± 3.5) min and that of the accessory operation group was (67.0 ± 4.8) min. Postoperative severe subcutaneous emphysema in 2 cases, disappeared after treatment. No case of transfer laparotomy and surgical injury. Conclusion Clinical gynecology has some safety in laparoscopic treatment of patients with previous history of non-complicated laparotomy, and requires mastery of operation skills to improve the success rate of operation and improve the quality of life of patients.