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手术性腹腔镜为生殖医学与妇科有力的医疗技术。1901年Kelling首次报告狗腹部内窥镜检,9年后瑞典Jacobaeus记录了人腹腔所见,用套管制造气腹,然后插入膀胱镜检查。1937美Ruddock报道500例腹腔镜活检,死亡率0.2%。1947年随着冷光源的发明,内窥镜检查取得突破性进展。1974年德国Semm报告了腹腔镜下输卵管切除、附件切除、肌瘤切除、卵巢切除、卵巢囊肿切除及输卵管复通术。一般性检查:对不育、宫外孕或其它疾病术前应认真检查手术指征与禁忌症。绝对禁忌症有肠梗阻,肠麻痹,腹壁疝,腹膜炎,腹腔内出血,膈疝
Surgical laparoscopy for reproductive medicine and gynecology powerful medical technology. Kelling first reported abdominal endoscopy in 1901, nine years later Jacobaeus recorded the findings of the abdominal cavity, made pneumoperitoneum with a cannula and inserted cystoscopy. Ruddock 1937 reported 500 cases of laparoscopic biopsy, the mortality rate of 0.2%. With the invention of cold light source in 1947, endoscopic examination made breakthrough progress. In 1974, Semm reported laparoscopic tubal resection, attachment resection, myomectomy, ovariectomy, ovarian cyst resection and tubal recanalization. General examination: For infertility, ectopic pregnancy or other diseases preoperative surgical indications and contraindications should be carefully checked. Absolute contraindications include intestinal obstruction, intestinal paralysis, abdominal hernia, peritonitis, intra-abdominal bleeding, diaphragmatic hernia