Sun A
Zhonghua Yi Xue Za Zhi. 1991 May;71(5):257-9, 20.
A series of 101 cases of gynecological diseases were treated laparoscopically by Nd: YAG laser (n = 68), electrocautery (n = 23) and microwave (n = 10) from September 1989 to November 1990 at PUMC Hospital in Beijing. This series included 64 patients with endometriosis, 17 with ectopic pregnancy, 13 with paraovarian cysts and other ovarian cysts; 4 with hydrosalpinx; 2 with subserosal myomata and 1 with polycystic ovary disease. All the operations were performed under local and topical anesthesia with procaine and dicaine respectively. Follow-up for 2-16 months revealed that, all the cases of endometriosis and other ovarian cysts produced good results. The patients of ectopic pregnancy were treated successfully by mere laparoscopy without laparotomy. No operative complications occurred. The technique, indications and characteristics of the operations are discussed.
1989年9月至1990年11月期间，北京协和医院使用Nd:YAG激光（n = 68）、电灼（n = 23）和微波（n = 10）对101例妇科疾病患者进行了腹腔镜手术治疗。该系列病例包括64例子宫内膜异位症患者、17例异位妊娠患者、13例卵巢旁囊肿及其他卵巢囊肿患者、4例输卵管积水患者、2例浆膜下肌瘤患者和1例多囊卵巢疾病患者。所有手术均分别在局部麻醉和表面麻醉下进行，局部麻醉使用普鲁卡因，表面麻醉使用地卡因。随访2至16个月结果显示，所有子宫内膜异位症及其他卵巢囊肿病例均取得良好效果。异位妊娠患者仅通过腹腔镜检查即成功治疗，无需开腹手术。未发生手术并发症。文中对手术技术、适应证及特点进行了讨论。
