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目的探讨宫腔镜联合腹腔镜技术治疗妇科疾病的安全性、可行性及有效性。方法在气管插管全身麻醉下行腹腔镜监护下宫腔镜电切术治疗妇科疾病 5 8例 ,同时明确盆腔内疾病并加以镜下治疗。结果 5 8例患者共实施 75项手术 ,无并发症发生。术前未发现的 9例患者的盆腔内疾病术中得以确诊和治疗 ,对 2 1例次输卵管粘连阻塞病例成功疏通 18例 ,14例双侧复通。平均手术时间 4 7分钟 ,平均出血 2 0ml,术后 1天基本恢复正常 ,随访结果满意。结论宫、腹腔镜联合手术可提高宫腔镜治疗的安全性及有效性 ,同时实施宫腔内与盆腔内疾病的诊断与治疗 ,提高疗效。
Objective To investigate the safety, feasibility and effectiveness of hysteroscopy combined with laparoscopy in the treatment of gynecological diseases. Methods Fifty-eight cases of gynecological diseases were treated by hysteroscopic electrosurgical laparoscopic surgery under general anesthesia with endotracheal intubation. At the same time, the disease in pelvic cavity was clarified and treated with endoscopic treatment. Results A total of 58 patients performed 75 procedures without complications. Pelvic disease was diagnosed and treated intraoperatively in 9 patients who had not been found preoperatively. Twenty-one cases were successfully dredged in 21 cases of tubal occlusion, and 14 cases were treated with double-sided recanalization. The average operation time was 47 minutes and the mean bleeding volume was 20ml. One day after operation, the patients returned to normal and the results were satisfactory. Conclusions Gong and laparoscopy combined surgery can improve the safety and effectiveness of hysteroscopic treatment, while the implementation of intrauterine and pelvic disease diagnosis and treatment to improve the curative effect.