腹腔镜检查

Us and the HSG inspection coincidence rate is one hunder per, HSG and the peritoneoscopy coincidence rate is fifty point nine per, but it becomes more accurate to use the peritoneoscope to diagnose the oviduct unobstructed and other pelvic cavity sickness changes.

Us与HSG检查的符合率为100％，HSG和腹腔镜检查的符合率为50.9％，但腹腔镜诊断输卵管的通畅度和其他盆腔病变更准确。

Methods:Six cases of gonadal dysgenesis underwent hysteroscopy combined with laparoscopy were collected and analyzed.

对6例性腺发育不全患者进行宫、腹腔镜检查及腹腔镜下切除的性腺病例资料进行分析。

Laparoscopy is analyzing the diagnosis of simple and effective method of endoscopic see peritoneum, omentum and diffuse nodular plaque, may look biopsy pathology examination.

腹腔镜检查是诊断PMM的简单而有效的方法，镜下见腹膜、网膜弥漫性结节和斑块，并可直视下活检病理学检查。

Of assisted reproduction and it is now doing very well, if that tubal root barrier, we directly test-tube baby, and do not recommend surgery, if the water that is fallopian tube, laparoscopic surgery done on it to open plastic, end of the fallopian tubes exposed umbrella, so that this problem, I think to do laparoscopy to see what problems, how to deal with how to deal with.

而且现在的辅助生育做的非常好，假如说输卵管根部不通，我们就直接做试管婴儿了，不建议做手术，假如说是输卵管的积水，就做腹腔镜手术，把它打开整形，把输卵管伞端暴露出来，所以说这个问题，我觉得要做腹腔镜检查，看有什么问题，该怎么处理怎么处理。

Results:The main symptoms of malignant peritoneal mesothelioma were abdominal distension and abdominal dropsy in this patients.1 patient examined by abdominoscopy,3 patients examined by exploratory laparotomy,and all of them received final pathematology diagnosis...

结果：腹膜恶性间皮瘤以腹胀及腹水为主要表现。1例行腹腔镜检查，3例行剖腹探查术，最后经病理学确诊。3例行肿瘤细胞减灭术，其中1例联合腹腔静脉化疗，1例联合腹腔内化疗；2例未行任何治疗。

Methods Adenomyosis was diagnosed under lapososcopy in 4 infertile cases. Meanwhile coexsting endometriosis,pelvic adhesion and adenomyoma were treated by surgery and endocoagulator in 4 and 2 cases respectively.GnRH-α therapy was given for six months before laparoscopic surgery in 1 case and after laparoscopic surgery in 3 cases .

4例有严重痛经的子宫腺肌病伴不孕症患者经B超及腹腔镜或病理检查确诊，在腹腔镜检查的同时手术矫治合并存在的子宫内膜异位症和盆腔粘连。4例中，3例子宫后壁有局限性腺肌瘤形成(其中2例在腹腔镜下行手术切除)。3例于术后、1例于术前注射长效缓释型GnRH-α，每月1次，共6次。

Methods adenomyosis was diagnosed under lapososcopy in 4 infertile cases. meanwhile coexsting endometriosis,pelvic adhesion and adenomyoma were treated by surgery and endocoagulator in 4 and 2 cases respectively.gnrh-α therapy was given for six months before laparoscopic surgery in 1 case and after laparoscopic surgery in 3 cases .their fecundity outcome were followed-up after cessation of gnrh-α treatment.

4例有严重痛经的子宫腺肌病伴不孕症患者经b超及腹腔镜或病理检查确诊，在腹腔镜检查的同时手术矫治合并存在的子宫内膜异位症和盆腔粘连。4例中，3例子宫后壁有局限性腺肌瘤形成(其中2例在腹腔镜下行手术切除)。3例于术后、1例于术前注射长效缓释型gnrh-α，每月1次，共6次。

The abdominal wall in the left lower quadrant, 2 finger breadths (3 cm) cephalad and 2 finger breadths medial to the anterior superior iliac spine, has been shown to be thinner and with a larger pool of fluid than the midline and is usually a good choice for needle insertion for performance of a therapeutic paracentesis.27 The right lower quadrant may be a suboptimal choice in the setting of a dilated cecum or an appendectomy scar.

在过去，常常将腹部正中线耻骨与肚脐中间定为穿刺点，现在，由于腹腔穿刺引流大量液体以及腹中部脂肪厚度增加，左下腹成为腹腔穿刺部位（表1），在左下腹部中线至髂前上棘连线上2指宽（3cm）与距髂前上棘2指宽，已经显示较中部脂肪少及腹水较多是治疗性腹腔穿刺好的首选部位27，在盲肠有扩张或阑尾切除术后瘢痕时右下腹是次选的穿刺部位，应避开腹壁下动脉，这些血管走行在耻骨与髂前上棘之间的中线然后在腹直肌中向上行走，，腹壁可见的侧支循环亦应该避开，腹腔镜检查发现侧支循环可出现在中线并且在腹腔穿刺时有导致血管破裂的风险28。

The rectum anal tube damages the wound response to create, the flushing, the repair, the drainage; The merge abdominal cavity internal organs damage is indefinite when may implement the peritoneoscopy; Below the peritoneum returns folds should as far as possible an issue of repair; Damages serious, has the serious merge damagecolon to make the mouth technique.

直肠肛管损伤应尽早清创、冲洗、修复、引流；合并腹腔脏器损伤不确定时可以实行腹腔镜检查；腹膜返折以下应尽可能一期修复；损伤严重者，有严重合并损伤者应行结肠造口术。

Fluid can also be collected during thoracoscopy or laparoscopy.

在胸腔镜和腹腔镜检查时可抽取液体。

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。