输卵管腹腔的

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。

Objective: To study the laparoscopic management of fallopian tube in infertility treatment .

目的 ：探讨腹腔镜术中输卵管处理的好坏在不孕症治疗中的作用。

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。

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。

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。

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。

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。

Methods: Our Hospital in January 2003 to 2007 a menstrual tubal lipiodol angiography for the diagnosis and laparoscopic bilateral proximal tubal blockage, Ms tubal patency part of the 31 patients targeted to tubal cornual implantation.

我院2003 年1月至2007年1月经输卵管碘油造影及腹腔镜诊断为双侧输卵管近端堵塞，余输卵管部位通畅的31例患者为对象，行输卵管宫角植入术。

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。

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

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％。