腹腔

To observe the effect of laparotomy and various laparoscopic coeliac environment on pH value of the arterial blood and abdominal cavity in a rat model.

目的观察开腹手术和腹腔镜手术时不同腹腔环境对大鼠血液和腹腔pH值的影响。

Objective To study the value of laparoscope in the diagnosis and treatment of high cryptorchidism.

目的 探讨腹腔镜在高位隐睾诊断和治疗中的价值。方法腹腔镜下对 19例 2 1侧睾丸进行腹腔探查、睾丸下降固定术。

The following data were compared respectively between two groups ,such as operation time, exploratory rate of other diseases in peritoneum,time of post-operative anal exsufflation and ambulation,operation expense,the amount of analgesics patients need after operation,the incidence of incision infection,adhesive intestinal obstruction and residual infection in abdominal cavity.

回顾分析360例经腹腔镜输卵管绝育术和同期360例开腹输卵管结扎术的手术资料，比较两组手术时间、腹腔内其他病变探查率、术后肛门排气时间、术后下床时间、手术费用、术后止痛剂使用、切口感染、粘连性肠梗阻、腹腔残余感染发生率等指标。

The following data were compared respectively between two groups,such as operation time,exploratory rate of other diseases in peritoneum,time of postoperative anal exsufflation and ambulation,hospitalization expense,the amount of analgesics patients need after operation,the incidence of incision infection,adhesive intestinal obstruction and residual infection in abdominal cavity.

回顾分析60例腹腔镜阑尾切除术（laparoscopic appendectomy，LA）和同期OA组60例的手术资料，比较两组手术时间、腹腔内其他病变探查率、术后肛门排气时间、术后下床时间、住院费用、术后止痛剂使用、切口感染、粘连性肠梗阻、腹腔残余感染发生率等指标。

Results There's little difference in the operational complicated disease,A-class healing rate of the cut,gut response,use of sedative,the first out-bed activity time after operation and anal exsufflation after operation.

结果 两组手术并发症、切口甲级愈合率、胃肠道反应、使用镇静剂、术后第1次下床活动时间、术后肛门排气时间差异无显著性；小切口剖腹组进入腹腔时间、手术时间较腹腔镜组少，小切口剖腹组费用较腹腔镜组低。

objective to evaluate the clinical value of early diagnosis and therapy of suspicious ectopic pregnancy by laparoscopy.methods the clinical data of 53 suspicious tubal pregnancy patients were analyzed retrospectively,who had received laparoscopic operation in our hospital from january 2003 to december 2005.results all cases received laparoscopic operation,none was transferred to traditional surgery during the operation.46 cases were diagnosed as tubal pregnancy during the operation with pathologic proof.preoperative diagnosis rate was 86.8%.the salpingecstomy were performed in the 32 cases.the salpingotomy were performed in the 7 cases.conclusion the laparoscopic operation is the best choice in the early diagnosis and therapy of suspicious ectopic pregnancy,and it gain time for conservative therapy.but not too early.

目的 评价可疑异位妊娠患者腹腔镜早期诊治的临床价值。方法收集2003年1月～2005年12月收治的经腹腔镜手术治疗的可疑输卵管妊娠患者53例资料进行回顾性分析。结果 53例手术均经腹腔镜完成，无1例中转，术中诊断输卵管妊娠的46例，术前诊断率86.8%，32例行输卵管切除术，7例行保守性手术。结论腹腔镜手术是早期确诊可疑异位妊娠患者的最佳选择，也为保守性治理赢得时间，但不宜操之过急。

Of them,194 cases had been conducted sterility explorations,148 ectopic pregnancy operations,91 ovarian multiple cyst operations,49 myomectomy,47 enucleation of ovarian multiple cysts,29 laparoscopic cholecystectomies,24 teratoma resections,2 ruptuure of corpus luteum operations,2 appendectomies,repair in perforation of uterus,eyewinker extraction in abdominal cavity.Tubal ligation and communicating branch lidation of great saphenous vein.

在连续硬膜外加静脉麻醉下为602例行腹腔镜手术，其中不孕症宫腹腔镜探查术194例，宫外孕手术148例，多囊卵巢手术91例，子宫肌瘤切除术49例，卵巢囊肿切除术47例，胆囊切除术29例，畸胎瘤切除术24例，黄体破裂修补术12例，盆腔脓肿引流术2例，阑尾切除术2例，腹腔镜子宫穿孔修补，腹腔异物取出，输卵管结扎，大隐静脉支离断等各1例。

Methods: From January 2004 to September 2006, 56 laparoscopic nephrectomies were performed. Hem-o-lok clips were used to control renal artery and vein in 38 cases, including 9 simple nephrectomies, 18 radical nephrectomies and 11 nephroureterectomies.

2004年1月至2006年9月我科行腹腔镜肾切除术56例，其中38例术中应用Hem-o-lok夹处理肾蒂血管，包括腹腔镜单纯肾切除9例，腹腔镜肾癌根治术18例，腹腔镜肾输尿管全长切除术11例。

Objective To investigate the safety and efficacy of autotransfusion in therapy in hemorrhagic shock with ectopic pregnancies by abdominoscope.Methods We choice forty-two ectopic pregnancies or corpus luteum rupture with hemorrhagic shock into two sets: haematomas of ectopic pregnancies and corpus luteum rupture had been scavenged and haemostasised in laparoscopic approaching;And the others using AutologTM Autotransfusion System in the same time.The blood was collected from operative area and celom,and transfused back to the patiants after the same treatment.

目的 研究自体血液回输在腹腔镜下宫外孕失血性休克治疗中的安全性和效果方法选择42例宫外孕或黄体破裂，失血性休克患者行腹腔镜探查，血肿清除并止血术，随机分成两组：组腹腔镜下直接清除血肿；另外一组在腹腔镜下清除血肿时，应用AutologTM Autotransfusion System，收集手术野和体腔内的出血、积血，处理后回输给患者。

Fallopian tube pass for the remote and poor and there is no good treatment, if the fallopian tube adhesion umbrella serious side can do laparoscopic or open around the stoma and the separation of adhesion, if it is slightly remote and poor pass, Our experience is that too much to take the treatment, this is because the poor pass that mild lesions less, the purpose of treating disease is the history of lighter, but there are many ways to present a certain degree of injury is likely to therapy not as good as dead after some hospitals that laparoscopic treatment, we believe that is not suitable, because there is trauma laparoscopy and laparoscopic surgery to stop bleeding in the separation of mainly electrocoagulation, fallopian tube ignition organizations that can be damaged, causing new inflammation, resulting in tubal adhesions client umbrella.

对于输卵管远端通而不畅并没有什么好的治疗方法，如果输卵管伞端粘连严重的话可以在腹腔镜下或开腹做造口及分离周围粘连，如果是远端轻度通而不畅，我们的经验是不主张采取过多的治疗，这是因为轻度通而不畅说明病变比较轻，治疗的目的是是史病变更轻一些，但是目前的很多方法都有一定的损伤很可能治疗后还不如不治，有的医院主张腹腔镜治疗，我们认为不适合，因为腹腔镜有创伤，而且腹腔镜术中的止血分离主要是电凝，灼烧这都可能使输卵管组织遭到破坏，引起新的炎症，造成输卵管伞端粘连。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。