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目的探讨腹腔镜在临床妇科急腹症中的应用价值。方法对2013年5月—2015年5月160例妇科急腹症患者行腹腔镜探查及手术治疗,不同疾病采用相应的手术方式,如:输卵管开窗术、输卵管部分切除术、卵巢修补术等。结果全部手术成功,术中所见及术后病理检查明确诊断,其中异位妊娠127例,卵巢黄体破裂17例,巧克力囊肿破裂9人,卵巢囊肿蒂扭转6人,化脓性阑尾炎1例;纠正了错误的临床诊断3例。结论在妇科急腹症应用中,腹腔镜不仅能明确诊断,更能及时治疗,且微创伤、痛苦小、恢复快、并发症较少,在诊断、治疗、术后均有较高价值,值得作为首选治疗方法在临床广泛推广使用。
Objective To investigate the value of laparoscopy in clinical gynecologic acute abdomen. Methods From May 2013 to May 2015, 160 cases of gynecologic acute abdomen were treated by laparoscopy and surgical treatment. The corresponding surgical methods were adopted for different diseases, such as tubal fenestration, partial tubal resection and ovarian repair . Results All the surgeries were successfully diagnosed. There were 127 cases of ectopic pregnancy, 17 cases of rupture of ovary, 9 cases of chocolate cyst rupture, 6 cases of ovarian cyst torsion and 1 case of suppurative appendicitis. The wrong clinical diagnosis in 3 cases. Conclusions In the application of gynecologic acute abdomen, laparoscopy can not only confirm the diagnosis but also treat it promptly, with less trauma, less pain and fast recovery, less complications and higher value in diagnosis, treatment and postoperative. Worth it as the preferred treatment in the clinical widely used.