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目的：探讨针型腹腔镜的适应证，手术方法和前景。方法：自１９９７年８～１０月，应用２ｍｍ针型腹腔镜及器械进行诊断或手术共３８例。根据术中取出物的大小，第一穿刺孔直径分别为２ｍｍ，５ｍｍ或１０ｍｍ。第２，３穿刺孔直径均为２ｍｍ。手术包括：输卵管切除术，输卵管局部ＭＴＸ注射，输卵管结扎术，卵巢囊肿剥除术，黄体破裂止血术，黄素囊肿穿刺术，子宫浆膜下肌瘤剥除术，盆腔粘连分解等。结果：３７例在针型腹腔镜下完成，手术平均时间７２ｍｉｎ；出血量１５ｍｌ；术后平均最高体温３７．４℃；尿管１２ｈ拔除；术后第１天患者可起床自由活动；伤口Ｉ／甲愈合。中转开腹手术１例。术中术后无并发症。结论：针型腹腔镜手术具有对患者创伤更加小，恢复快等特点，主要适用于诊断和简单的手术，在妇科疾病的诊断和治疗中有很大的发展前景。
Objective: To investigate the indications, surgical methods and prospects of acupuncture laparoscopy. Methods: From August to October 1997, 38 cases were diagnosed or operated with 2mm needle laparoscopy and instruments. The diameter of the first puncture hole is 2 mm, 5 mm, or 10 mm, respectively, depending on the size of the surgical removal. The second and third puncture hole diameter are 2mm. Surgery includes: tubal resection, tubal local injection of MTX, tubal ligation, ovarian cyst stripping, luteal rupture hemostasis, flavin cyst puncture, uterine fibroids stripping, pelvic adhesions decomposition. Results: 37 cases were completed laparoscopic surgery, the average operation time was 72min; the amount of bleeding was 15ml; the highest postoperative average body temperature was 37.4 ℃; the urethra was removed at 12h; the first day after operation, A heal. A case of transit laparotomy. No postoperative complications. Conclusion: Acupuncture laparoscopic surgery has the advantages of less trauma and faster recovery, which is mainly suitable for diagnosis and simple operation. It has great development prospects in the diagnosis and treatment of gynecological diseases.