输卵管切除术

Abstract］ Objective To discuss the safety,effect and availability of treatment of abdominal emergency with laparoscopy.Methods The instruments were installed by three foramina methods after general anestheasia.Various operation applicable to the problem of case.For example salpingectomy,salpingotomy,partial ovariotomy,adnexectomy and pelvic abscess incision drainage.

摘要］ 目的探讨妇科急症腹腔镜手术的可行性、安全性及治疗效果方法在全麻下采取常规三孔法置入腹腔镜器械，根据不同疾病采取相应的手术方法，如：输卵管切除术，输卵管开窗术，卵巢部分切除术，侧附件切除术，脓肿切开引流术。

Methods:The instruments were installed by three foramina methods after general anestheasia.Various operation applicable to the problem of case.For example salpingectomy,salpingotomy,partial ovariotomy,adnexectomy and pelvic abscess incision drainage.

在全麻下采取常规三孔法置入腹腔镜器械，根据不同疾病采取相应的手术方法，如：输卵管切除术，输卵管开窗术，卵巢部分切除术，一侧附件切除术，脓肿切开引流术。

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。

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.

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，多囊卵巢多点打孔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。

Methods Two hundred and eight cases of laparoscopic surgery in gynecopathy were analyzed retrospectively, including salpingotomy, salpingectomy, salpingostomy, enucleation of pelvic masses, CISH, remoral of hysteromyoma, lysis of pelvic adhesions.

回顾性分析208例妇科腹腔镜手术病例，主要包括输卵管切开胚胎取出术、输卵管切除术、输卵管造口术、盆腔肿物切除术、子宫切除术、子宫肌瘤剔除术和盆腔粘连松解术等15种手术。

Methods:According to the diseases,the instruments were installed by three foramina methods after general anesthesia.Various operations,for example,salpingectomy,salpingotomy,partial ovariectomy,adnexectomy and pelvic abscess incision drainage.

在全麻下采取常规三孔法置入腹腔镜器械，根据疾病不同采取相应的手术方法，如输卵管切除术、输卵管开窗术、卵巢部分切除术、一侧附件切除术、脓肿切开引流术。

Methods123 cases of laparoscopic surgery in gynecopathy were analyzed retrospectively, including salpingotomy, salpingectomy, salpingostomy, enucleation of pelvic masses, CISH, remoral of hysteromyoma, lysis of pelvic adhesions 15 kinds.

方法回顾性分析123例妇科腹腔镜手术病例，主要包括输卵管切开胚胎取出术、输卵管切除术、输卵管造口术、盆腔肿物切除术、子宫切除术、子宫肌瘤剔除术和盆腔粘连松解术等15种手术。

TV laparoscopy was applied in 64 gynecology operations, including salpingectomy, salpin-gostomy, dilatation of fimbriae tubae, tubal ligation, ovariectomy, adnexectomy, ovariocystectomy, oophoro-plasty, ovariopuncture, hysteromyomectomv and so on.

应用电视腹腔镜施行妇科手术64例，包括输卵管切除术、输卵管造口术、输卵管伞端扩张术、输卵管扎管术、卵巢或附件切除术、卵巢囊肿剥出成形术、卵巢穿刺术、卵巢冠囊肿切除术、子宫肌瘤挖除术及盆腔粘连分解术等。

Including salpingectomy,salpingotomy, salpingostomy, excision and enucleation of ovarian masses,repair of ovary, perforation of ovary, adnexnectomy, removal of hysteromyoma, supracervical hysterectomy, LAVH, CISH, lysis of pelvic adhesions, uterine suspension, uterosacral ligment transection, tubal sterilization, peritoneovaginoplasty.

手术包括输卵管切除术、输卵管切开吸胚术、输卵管造口术、卵巢肿块的剔除及切除术、卵巢修补术、卵巢多点打孔术、附件切除术、子宫肌瘤剔除术、子宫次全切除术、腹腔镜辅助的子宫切除术、腹腔镜筋膜内子宫切除术、盆腔粘连松解术、子宫悬吊术、骶韧带切断术、绝育术、取环术、腹膜阴道成形术等。

Methods The instruments were installed by three foramina methods after general anestheasia.Various operation applicable to the problem of case.

在全麻下采取常规三孔法置入腹腔镜器械，根据不同疾病采取相应的手术方法，如：输卵管切除术，输卵管开窗术，卵巢部分切除术，一侧附件切除术，脓肿切开引流术。

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。