腹腔镜在妇科疾病诊断和治疗中的应用价值

来源 :国外医学.妇幼保健分册 | 被引量 : 0次 | 上传用户:wangji239
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腹腔镜用于临床诊断及手术仅几年时间,但发展却相当迅速。现今,腹腔镜手术在以下几方面显示其优点,并广泛应用。①妇科急症:可及时诊断,及时处理。如宫外孕、卵巢囊肿扭转、盆腔炎和盆腔脓肿等;②妇科良性肿瘤:如卵巢单纯囊肿、良性畸胎瘤等。腹腔镜手术应该是妇科良性肿瘤首选方式;③子宫内膜异位症:腹腔镜是子宫内膜异位症诊断的金标准;④盆腔炎性病变:通过腹腔镜检查和处理可阻止炎症进展,减少盆腔粘连等;⑤不孕症:在女性不孕中,输卵管性不孕占首位,腹腔镜下通过染液实验已成为判断输卵管形态、功能的重要手段,也是目前评定输卵管通畅性的金标准。腹腔镜用于妇科疾病的诊治,创伤小、痛苦轻、并发症少、术后恢复快,是目前最好的方法。 Laparoscopy for clinical diagnosis and surgery only a few years, but the development is quite rapid. Nowadays, laparoscopic surgery shows its advantages in the following aspects and is widely used. ① gynecological emergency: timely diagnosis and timely treatment. Such as ectopic pregnancy, ovarian cyst torsion, pelvic inflammatory disease and pelvic abscess; ② benign gynecological tumors: such as ovarian cysts, benign teratoma. Laparoscopic surgery should be the preferred method of gynecological benign tumor; ③ endometriosis: laparoscopy is the gold standard for the diagnosis of endometriosis; ④ pelvic inflammatory disease: through laparoscopy and treatment can prevent the progression of inflammation, Reduce pelvic adhesions, etc .; ⑤ infertility: In female infertility, tubal infertility accounted for the first, laparoscopic staining experiment has become an important tool to determine the shape and function of the fallopian tube, but also the current assessment of gold standard tubal patency . Laparoscopy for the diagnosis and treatment of gynecological diseases, trauma, pain, fewer complications, quick recovery, is the best method.
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