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目的 探讨电视腹腔镜下行妇科手术。方法 腹腔镜下采用电凝、套扎、水分离、缝合等技术进行手术。术式为:附件切除术、输卵管造口术、卵巢囊肿剔除术、子宫肌瘤剜除术、盆腔粘连松解术、卵巢破裂修补术等。结果 23例手术全过程均在镜下完成,术后无并发症,伤口Ⅰ期愈合,2～3d痊愈出院。结论 腹腔镜手术具有损伤小,手术后遗症少,术后恢复快等优点,优于开腹手术。强调其手术成功与否取决于病例选择和操作技术。
Objective To investigate the laparoscopic gynecological surgery. Methods Laparoscopic electrocoagulation, ligation, water separation, suture and other techniques for surgery. Surgery as follows: attachment resection, tubal ostomy, ovarian cyst excision, uterine fibroids removal, pelvic adhesiolysis, ovarian rupture repair and so on. Results The whole procedure of 23 cases was completed under the microscope. There was no postoperative complication. The wound healed in the first stage and was discharged after 2 ~ 3d. Conclusions Laparoscopic surgery has the advantages of less injury, fewer sequelae of operation and quick recovery after operation, which is better than laparotomy. Emphasize that the success of their surgery depends on the case selection and operation techniques.