Farooqui M O, Bazzoli J M
J Reprod Med. 1976 Mar;16(3):119-25.
Electrocautery accidents, especially bowel burns, are one of the major causes of morbidity associated with laparoscopic tubal coagulation. Early recognition of such injury is highly desirable. Radiologic evidence of free air, ordinarily suggesting bowel perforation, may not be of diagnostic significance in such patients. Postlaparoscopic radiologic study of 26 patients revealed significant, projected areas of free air among 38.5% of patients 24 hours later. It is suggested that physicians rely on clinical judgement in cases of thermal bowel injury in the immediate postoperative period.
电灼意外，尤其是肠道灼伤，是腹腔镜输卵管凝固术相关发病的主要原因之一。尽早识别此类损伤非常必要。通常提示肠道穿孔的游离气体的放射学证据，在此类患者中可能不具有诊断意义。对26例患者进行的腹腔镜术后放射学研究显示，24小时后38.5%的患者出现了明显的、预计的游离气体区域。建议医生在术后即刻发生热肠道损伤的情况下依靠临床判断。
