Cook W A
Obstet Gynecol. 1977 Jan;49(1):105-6.
Suspected bowel adhesions are generally considered to be a contraindication to laparoscopy. Among 32 patients who were refused laparoscopy for that reason, only 1 patient was found to have adhesions at laparotomy. To attempt preoperative diagnosis of intraabdominal adhesions, needle laparoscopy was performed in 21 patients using a 1.7-mm endoscope. In 20 of the patients it was possible to establish the presence or absence of adhesions and to determine the feasibility of laparoscopic sterilization. This preliminary evaluation suggests that needle laparoscopy may avert bowel perforation in some instances and may permit laparoscopic tubal sterilization to be performed in some women who would otherwise, because of multiple previous operations, be denied laparoscopy.
疑似肠粘连通常被视为腹腔镜检查的禁忌证。在因该原因被拒绝进行腹腔镜检查的32例患者中，剖腹手术时仅发现1例存在粘连。为尝试术前诊断腹腔内粘连，对21例患者使用1.7毫米的内窥镜进行了针式腹腔镜检查。在20例患者中，可以确定是否存在粘连，并确定腹腔镜绝育术的可行性。这一初步评估表明，针式腹腔镜检查在某些情况下可能避免肠穿孔，并可能使一些因先前多次手术而原本会被拒绝进行腹腔镜检查的女性能够接受腹腔镜输卵管绝育术。
