论文部分内容阅读
目的探讨腹腔镜手术在妊娠期妇科疾病中的应用和安全性。方法回顾性分析因妇科疾病行腹腔镜治疗的29例妊娠期妇女的临床资料。结果29例妊娠5~22周,合并有直径6~12cm卵巢肿瘤15例,黄体囊肿破裂3例,输卵管妊娠9例,粘连性肠梗阻2例。其中15例行急诊手术,14例行择期手术,手术全部成功,无一例发生手术和麻醉并发症。17例已足月妊娠分娩,新生儿无畸形,9例仍在妊娠中晚期随诊中,2例因社会因素行人工流产术,1例术后2周因胚胎停止发育行清宫术。结论腹腔镜手术治疗妊娠期妇科疾病是安全和可行的。
Objective To investigate the application and safety of laparoscopic surgery in gynecological diseases during pregnancy. Methods The clinical data of 29 pregnant women undergoing laparoscopy for gynecological diseases were retrospectively analyzed. Results 29 cases of pregnancy 5 to 22 weeks, with a diameter of 6 ~ 12cm ovarian tumor in 15 cases, luteal cyst rupture in 3 cases, 9 cases of tubal pregnancy, adhesive intestinal obstruction in 2 cases. Among them, 15 cases underwent emergency surgery and 14 cases underwent elective surgery. All the surgeries were successful. None of them underwent surgery and anesthesia complications. 17 cases had full-term pregnancy and childbirth, no malformations in newborns, 9 cases were still followed up in the second trimester of pregnancy, 2 cases of induced abortion due to social factors, and 1 case of uterine curettage stopped due to embryo stop 2 weeks after the operation. Conclusion Laparoscopic surgery for the treatment of gynecological diseases in pregnancy is safe and feasible.