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目的 :探讨宫腔镜手术时腹腔镜监护的临床应用价值。方法 :1995年 3月至 1999年 3月宫腔镜电切术 6 72例 ,12 8例高危病例行腹腔镜监护。结果 :腹腔镜检查发现有盆腔并存病变 2 0例 ,术时见局部浆膜起水泡 1例 ,子宫不全穿孔 1例 ,术终发现子宫穿孔 2例 ,1例切除子宫 ,1例腹腔镜处理。结论 :腹腔镜监护宫腔镜手术可及时发现子宫穿孔的先兆及子宫穿孔 ,并进行腹腔镜下电凝止血及缝合 ,但不能完全避免子宫穿孔的发生 ,故术终应再次腹腔镜检查盆腔。
Objective: To investigate the clinical value of laparoscopic monitoring during hysteroscopic surgery. Methods: From March 1995 to March 1999, 6 72 cases underwent hysteroscopic resection and 12 8 cases underwent laparoscopic surveillance. Results: There were 20 cases of pelvic concomitant lesions found by laparoscopy. One case of local serosa blistering and one case of incomplete uterine perforation were found during operation. Two cases of uterine perforation were found at the end of operation, one case of uterus and one case of laparoscopy. Conclusion: Laparoscopic surveillance hysteroscopy can detect the signs of uterine perforation and perforation of the uterus in time and carry out laparoscopic electrocoagulation to stop bleeding and suture, but can not completely avoid the occurrence of uterine perforation. Therefore, pelvic cavity should be checked by laparoscopy again.