Lehmann-Willenbrock E, Mecke H, Riedel H H
University Clinic of Obstetrics and Gynecology, CAU Kiel, FRG.
Gynecol Obstet Invest. 1990;29(4):241-5. doi: 10.1159/000293326.
We analyzed the case histories and operation protocols of 2,465 female patients who had undergone pelviscopy for various reasons at the University Clinic of Obstetrics and Gynecology, Kiel, in the years 1978-1982. 1,743 patients (71%) had reported a previous appendectomy, of whom 965 had had no other intra-abdominal operation. 657 of the latter (68.1%) presented adhesions; these were located in the right middle abdomen in 36.4% of the cases. In comparison to a collective of 308 patients without adhesions after appendectomy, the existence of chronic lower abdominal pain was independent of the presence of adhesions (30-31% in both groups). In 55% of the patients with adhesions who were infertile after appendectomy, periovarian and peritubal adhesions were registered. In order to avoid unnecessary appendectomy or other laparotomies with later formation of adhesions, the use of laparoscopy is recommended in all questionable cases.
我们分析了1978年至1982年间在基尔大学妇产科诊所因各种原因接受盆腔镜检查的2465名女性患者的病历和手术记录。1743名患者（71%）曾做过阑尾切除术，其中965名患者没有进行过其他腹腔内手术。后者中有657名（68.1%）出现粘连；其中36.4%的病例粘连位于右中腹部。与308名阑尾切除术后无粘连的患者群体相比，慢性下腹痛的存在与粘连的存在无关（两组均为30% - 31%）。在阑尾切除术后粘连且不孕的患者中，55%存在卵巢周围和输卵管周围粘连。为避免不必要的阑尾切除术或其他术后形成粘连的剖腹手术，建议在所有可疑病例中使用腹腔镜检查。
