腹腔镜

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，大隐静脉交通支离断等各1例。

Methods:602 patients were performed laparoscopic operation under continuous peridural and intravenous anesthesia.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，大隐静脉交通支离断等各1例。

Over the past decade laparoscopic surgery has become integral to general surgical practice, with the advantages over open surgery of less postoperative pain, earlier rehabilitate to normal activities and better cosmetic outcomes demonstrated for a range of pro...

本研究的目的在于探讨妇科腹腔镜手术对人体内环境的影响，并对妇科腹腔镜手术技巧、应用范围和手术方法进行探索，从基础及临床两方面对腹腔镜在妇科手术中的应用进行了研究。

Objective1. To deeply understand the academic theory of my advisor about MIS and to grasp the technique of gynecological laparoscopic surgery. 2. To investigate the effect of different mode CO2 pneumoperitoneum on the body.(1)To detect the effect of two different types of insufflator on the iintraabdominal pressure during gynecological laparoscopic surgery.

目的：1、深刻理解导师关于微创治疗的学术思想，掌握妇科腹腔镜手术。2、研究探讨妇科腹腔镜手术中非微创因素——不同CO2充气模式形成的气腹对机体的影响：(1)研究两种不同工作原理的气腹机对妇科腹腔镜手术中患者腹腔压力的影响。

Objective To explore the value of laparoscopic operation in the treatment of gynecologic diseases.Methods Retrospective analysis of 170 cases of laparoscopic surgery in ynecology.53 cases in the salpingocyesis group,49 cases salpingotomy,4 cases salpingectomy;48 cases in the ovarian cyst group,35 cases enucleation and repair of ovary,8 cases ovary sutures atches,3 adnexnectomy and 2 perforation of ovary;52 cases in the uterine problems group,10 cases LM5 cases CISH,11 cases LSH（laparoscopic supracervical ysterectomy）,14 cases LTH（laparoscopic total hysterecotomy）,12 cases LAVH laparoscopically assisted vaginal hysterectomy）;17 cases in the infertility group were studied in terms of lysis of pelvic adhesions and salpingostomy.

目的 探讨妇科腹腔镜手术的临床应用价值方法回顾性分析170例妇科腹腔镜手术病例，其中异位妊娠组53例，行输卵管切开取胚49例，输卵管切除术4例；卵巢疾患组48例，囊肿剥除术及卵巢成形术35例，卵巢缝合修补8例，患侧附件切除3例，囊卵巢多点打孔2例；子宫疾病组52例，行肌瘤剥除10例，改良CISH术5例，子宫次全切除术11例，子宫全切术14例，腹腔镜辅助阴式子宫切除12例；不孕症组17例，行盆腔粘连分解输卵管伞造口术。

objective:to explore the value of laparoscopy in diagnosis and treatment of female infertility.methods:the clinical data of 139 cases of female patients with infertility were analyzed retrospectively.results:among 139 cases,55 cases with pelvic adhesion,34 cases with salpingitis,20 cases with endometriosis,and 14 cases with polycystic ovary.the pregnancy rates were 47.27%,41.18%,55.56% and 46.15% respectively after laparoscopic surgery.pelvic adhesion salpingitis and endometriosis were the major cause of female infertility.conclusions:laparoscopic technique can find out the reason of infertility more earlier and more directly and provide timely therapy.so it has excellent clinical effect.

目的：探讨腹腔镜诊治女性不孕症的应用价值。方法：回顾分析我院2004年12月至2007年12月应用腹腔镜诊治女性不孕症139例患者的临床资料。结果：139例中盆腔粘连55例，输卵管炎34例，子宫内膜异位症20例，多囊卵巢综合征14例，术后妊娠率分别为47.27%，41.18%，55.56%，46.15%。盆腔粘连、输卵管炎、子宫内膜异位症是引起女性不孕的主要盆腔病因。结论：应用腹腔镜技术能早期、直观、准确的明确不孕症输卵管及盆、腹腔病因并可同时予以针对性治疗，在直视下通液，动态观察输卵管通畅度和形态，大大降低了常规通液术的假阳性、假阴性率。

Methods:Undergraduate students,postgraduate students and probationary students practised clipping soybean and making suturation and instrumental tie by using laparoscopic training system,then made statistical analysis two weeks later.

本科实习生组、研究生无腹腔镜操作经验组、本院进修医师无腹腔镜操作经验组，分别使用腹腔镜模拟训练系统练习镜下夹取黄豆、缝合及器械打结技术，2周后进行统计学分析。

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。

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。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。