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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: The clinical data of 41 patints with rare ectopic pregnancy including interstitial pregnancy.23 cornual uterogestation,9 ovarian pregnancy,4 abdominal,2 pregnancy were retrospectively analyzed,deformity uterogestation,1 intramural pregnancy,1 and nub of fallopian tube pregnancy,were retrospectively analyzed.

回顾 分析 2003年7月至2005年10月经腹腔镜手术治疗的特殊部位异位妊娠41例的临床资料,包括输卵管间质部妊娠23例,宫角妊娠9例,卵巢妊娠4例,腹腔妊娠2例,残角子宫妊娠1例,子宫肌壁间妊娠1例,输卵管残端妊娠1例。

Objective To investigate the relation of the position of double-lumen balloon catheter and the failure to display the homolateral oviduct in Hystersalpingography.

在使用双腔球囊导管行子宫输卵管造影(hys-terosalpingography,HSG)159例检查中,偶尔见到少数病例的导管顶端紧靠一侧子宫角部,该侧输卵管未能显示。

Methods analyzed the 60 cases of patients whom were conducted salpingography with tubal patent test apparatus by liquid instillation.results in 60 cases, both oviduct get through in 42 cases , account for 70%;one oviduct incompletely get through in 6 cases, account for 10%;both oviduct were blocked in 12 cases, account for 20%.among them ,2 cases of hydrosalpinx ,4 cases of ampulla of uterine tube obstruction,6 cases of scarcity in one side oviduct,10 cases of absence of develop in interstitial portion of the tube.

分析研究60例子宫输卵管造影患者应用输卵管通液诊疗仪进行检查的病例资料。结果:60例中,双侧通畅者42例,占70%;一侧通而不畅者6例,占10%;双侧输卵管不通者12例,占20%。其中2条输卵管伞端积水;4条输卵管壶腹部阻塞,6条输卵管一侧缺如。10条输卵管间质部不显影。

The mesosalpinx is bounded by the fallopian tube superiorly, the uterus medially, the ovary laterally, and the ovarian ligament inferiorly.

输卵管系膜位于输卵管上方,子宫外侧,卵巢侧方及卵巢韧带的上方。

The mean patient age was 58 years (range, 32 to 85 y). Abdominal enlargement and pain were the usual complaints. Treatment was known in 14 patients: 10 had hysterectomy with bilateral salpingo-oophorectomy, which was accompanied by omentectomy in 7; and 4 had only unilateral or bilateral salpingo-oophorectomy, 1 with omentectomy.

这些患者平均年龄58岁(范围32至85岁),腹围增大和腹部疼痛是她们的主要症状。14例患者的临床治疗情况如下:10例切除了子宫、双侧卵巢和输卵管,其中7例同时切除了网膜;另外4例只切除了单侧或双侧卵巢和输卵管,其中1例同时切除了网膜。

It is safe and efficient in performing transuterine artery chemoembolization for therapy of fallopian tubal pregnancy. It could prevent and control fatal bleeding induced by pregnancy cyst rupture.

结论子宫动脉是输卵管的主要供血动脉,经子宫动脉途径介入治疗输卵管妊娠安全有效,并可预防和控制破裂大出血。

Blocked fallopian tubes in most women are infected as a result of chronic inflammation caused by chronic inflammation as a result of fallopian tube lumen so that congestion and edema with inflammatory cell infiltration, necrosis of the cells off will lead to tubal blockage; and bilateral fallopian tube through the continuation of the endometrium is associated So, do not rule out the endometrium is also a factor in chronic inflammation; General Hospital of conventional therapy: the use of repeated hydrotubation, laparoscopy, hysteroscopy-laparoscopy joint, such as wire and interventional treatment, some hospitals every day infusion, at the same time microwave, shortwave, physiotherapy, etc.

你好!输卵管堵塞多数女性是由于慢性炎症感染所致,由于输卵管长期慢性炎症使管腔内充血水肿炎细胞浸润,脱落坏死的细胞聚集才会导致输卵管堵塞;而双侧输卵管通过子宫内膜是延续相连的,所以,不排除子宫内膜也有慢性炎症的因素;一般医院常规治疗:多采用反复通液、腹腔镜、宫腹腔镜联合、导丝及介入等治疗,也有一些医院开展每天输液,同时用微波,短波,理疗等

Results the main pathological finding in this patients are:chronic salpingitis,salpingo-oophoritis,hyˉdrosalpinx,there are only two cases have endometrial tissue inside the oviduct in our observation.

结果 盆腔子宫内膜异位症囊肿的输卵管病理改变在本组病人中主要表现为:输卵管卵巢粘连、慢性输卵管炎、输卵管积水,并2例输卵管内有子宫内膜异位病灶。

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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)。

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