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目的探讨妇科腹腔镜的手术指征、手术方式和并发症。方法回顾性分析３８３例妇科腹腔镜诊断与手术的指征、手术方式和并发症。结果妇科腹腔镜手术占同期妇科总手术的１２．８％，其中腹腔镜诊断３１２例，腹腔镜手术７１例。以内凝、套扎、单极电凝等方法，完成输卵管切除、卵巢楔形切除、子宫肌瘤剥出等手术。结论①腹腔镜检查对患者机体损伤小、诊断价值高，但腹腔镜下手术应根据术者的熟练程度从严掌握适应证，以提高手术成功率；②单极电凝能够应用于盆腔操作，但应严格遵守７点规则；③腹腔镜手术切口虽小，但应重视切口的缝合。
Objective To investigate the indications, surgical methods and complications of gynecological laparoscopy. Methods Retrospective analysis of 383 cases of gynecological laparoscopic diagnosis and surgical indications, surgical methods and complications. Results Gynecological laparoscopic surgery accounted for 12.8% of the total gynecological operations in the same period, of which 312 cases were diagnosed by laparoscopy and 71 cases were treated by laparoscopy. The coagulation, ligation, monopolar coagulation and other methods to complete tubal excision, ovarian wedge resection, uterine fibroids stripping surgery. Conclusions ① Laparoscopy has the advantages of less damage to the patient’s body and high diagnostic value. However, laparoscopic surgery should be based on the proficiency of the surgeon to master the indications so as to improve the success rate of operation. ② Unipolar coagulation can be used in pelvic operation, But should strictly abide by the rules of 7 o’clock; ③ laparoscopic incision is small, but should pay attention to incision suture.