[普通外科医生在急诊妇科腹腔镜检查方面的经验]
[The general surgeon's experience in emergency gynaecological laparoscopy].
作者信息
Schietroma M, Recchia C L, Carlei F, Rossi M, Enang G N, Pistoia M A, Orsini S, Simi M
机构信息
Divisione di Chirurgia Geriatrica, Università degli Studi, L Aquila, Italy.
出版信息
Minerva Chir. 2001 Apr;56(2):133-8.
BACKGROUND
Early laparoscopy plays a very important role in the diagnosis and treatment of uncertain surgical diseases. Its use is not very clear, in part because it is a very new technique and secondly because its application in emergency surgery is very recent. The aim of this study is to evaluate the efficacy of this surgical approach.
METHODS
In the last six years, during emergency laparoscopy, we diagnosed various gynaecological diseases. We performed 4 ovarian cystectomies (25%), 2 salpingectomies (12.5%), 6 salpingo-oophorectomies (37.5%), 2 myomectomies (18.75%), 1 endocoagulation (6.25%).
RESULTS
Neither conversion in open surgery, nor major postoperatory complications were noted. Intervention time was shorter than that of the open technique. Return to normal activity was earlier.
CONCLUSIONS
The results of this study contribute to demonstrate that, in emergency surgery, laparoscopy constitute a valid and efficient diagnostic and therapeutic technique. It is indicated for the treatment of acute abdomen of unknown origin.
背景
早期腹腔镜检查在不明外科疾病的诊断和治疗中起着非常重要的作用。其应用尚不太明确，部分原因是它是一项非常新的技术，其次是因为它在急诊手术中的应用非常新。本研究的目的是评估这种手术方法的疗效。
方法
在过去六年中，在急诊腹腔镜检查期间，我们诊断出各种妇科疾病。我们进行了4例卵巢囊肿切除术（25%）、2例输卵管切除术（12.5%）、6例输卵管卵巢切除术（37.5%）、2例子宫肌瘤切除术（18.75%）、1例内膜凝固术（6.25%）。
结果
未发现转为开放手术的情况，也未发现重大术后并发症。干预时间比开放技术短。恢复正常活动更早。
结论
本研究结果有助于证明，在急诊手术中，腹腔镜检查是一种有效且高效的诊断和治疗技术。它适用于治疗不明原因的急腹症。
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