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从60年代起,由于可屈性纤维光源传导系统的发展,使腹腔镜检查技术进入了一个新的发展时期,但它的推广和鼎盛是70年代从美国兴起的。北京协和医院自1979年起首先应用,此后国内各大中城市医院相继开展了此项检查技术。据粗略统计,至今已做了2万例左右,对诊治妇科疾病和实行计划生育起到了重要作用,目前已成为妇产科工作者常用诊治手段之一。对妇科疾病的诊断和治疗1 早期输卵管妊娠输卵管妊娠破裂系妇科临床常见急腹症之一,如延误诊断或处理不当可危及生命。结合病史、β—hCG快速定量测定及精确的B超检查,可在输卵管妊娠未破裂前作出初步诊断;行腹腔镜可确诊。上海医大附属妇产科医院报道,临床第一诊断输卵管妊娠的共462例,经腹腔镜检查确诊的为330例;
Since the 1960s, due to the development of flexible fiber light source conduction system, laparoscopy has entered a new period of development. However, its promotion and its peak flourished in the 1970s from the United States. Beijing Union Medical College Hospital since 1979, the first application, since all major cities in China have carried out the inspection of this technology. According to the rough statistics, about 20,000 cases have been done so far, which plays an important role in the diagnosis and treatment of gynecological diseases and the implementation of family planning. At present, it has become one of the commonly used methods for diagnosis and treatment of obstetrics and gynecology workers. Diagnosis and treatment of gynecological diseases 1 Early tubal pregnancy Tubal pregnancy rupture gynecological clinical common acute abdomen one, such as the delay diagnosis or improper handling can be life-threatening. Combined with history, rapid quantitative determination of β-hCG and accurate B-ultrasound, tubal pregnancy can be ruptured before making a preliminary diagnosis; laparoscopy can be diagnosed. Shanghai Medical University Affiliated Obstetrics and Gynecology Hospital reported that the first clinical diagnosis of tubal pregnancy in 462 cases, confirmed by laparoscopy was 330 cases;