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1994～1995年,我们对18例妇科疾病患者于腹腔镜下施术,取得了满意的效果。现报告如下。 资料与方法:本组年龄20～61岁,平均33岁。术前诊断为卵巢巧克力囊肿3例,卵巢囊腺瘤13例,卵巢良性畸胎瘤及输卵管妊娠各1例。盆腔B超检查示最大包块为20cm×18cm×18cm。 手术方法:行气管插管静脉复合麻醉。患者术前排空膀胱,取臀高头低膀胱截右位。常规消毒后,采用德国Visap公司生产的腹腔镜,于脐轮下缘0.5cm处作一长约10mm弧形切口。以Verres针穿刺腹膜腔,并注入二氧化碳气体3L。用直径10mm的Trocar针穿刺腹膜腔,并放入腹腔冷光源镜头,观察盆腔情况。在脐至髂前上棘连线的外1/3处,左、右分别做一长约5mm的切口,置5mm套管(作为手术操作孔)。根据手术需要进行钝性及锐性分离、切割、电凝止血、缝扎止血、粉碎,取出切除的肿瘤。术毕,用生理盐水冲洗盆腔,各穿刺点皮下
From 1994 to 1995, we treated 18 patients with gynecological diseases under laparoscopy and achieved satisfactory results. The report is as follows. Materials and Methods: The group aged 20 to 61 years, mean 33 years. Preoperative diagnosis of ovarian chocolate cyst in 3 cases, 13 cases of ovarian cystadenoma, ovarian benign teratoma and tubal pregnancy in 1 case. Pelvic B-ultrasound showed the largest mass of 20cm × 18cm × 18cm. Surgical methods: tracheal intubation intravenous anesthesia. Patients preoperative emptying of the bladder, take the buttocks head low bladder cut right. Routine disinfection, the use of Germany’s Laparoscopy Lapap produced in the lower edge of the umbilical cord 0.5cm at a length of about 10mm curved incision. Puncture the peritoneal cavity with a Verres needle and inject 3 L of carbon dioxide gas. Puncture the peritoneal cavity with a 10 mm diameter Trocar needle and place it into a cold source lens to observe pelvic conditions. In the umbilical anterior superior iliac spine connected to the outer 1/3, left and right, respectively, to make a length of about 5mm incision, set 5mm cannula (as a surgical operation hole). Blunt and sharp separation, cutting, electrocoagulation to stop bleeding, suture to stop bleeding, smash, remove the excised tumor according to the need of operation. Surgery completed, wash the pelvic with saline, the puncture point subcutaneous