Khatuja Ritu, Jain Geetika, Mehta Sumita, Arora Nidhi, Juneja Atul, Goel Neerja
Department of Obstetrics and Gynaecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi 110095, India.
National Institute of Medical Statistics (ICMR), Ansari Nagar, Delhi, India.
Minim Invasive Surg. 2014;2014:562785. doi: 10.1155/2014/562785. Epub 2014 Dec 4.
Aim. To find out the changing trends in indications for use of laparoscopy for diagnostic or operative procedures in gynaecology. Methods. This was a clinical audit of 417 women who underwent laparoscopic procedures over a period of 8 years from January 2005 to December 2012 in the Department of Obstetrics and Gynaecology at a tertiary care centre in Delhi. Results. A total of 417 diagnostic and operative laparoscopic procedures were performed during the period from January 2005 to December 2012. Out of 417 women, 13 women were excluded from the study due to inadequate data. 208 (51.4%) women had only diagnostic laparoscopy whereas 196 (48.6%) patients had operative laparoscopy after the initial diagnostic procedure. Change in trend of diagnostic versus operative procedures was observed from 2005 to 2012. There was increase in operative procedures from 10 (37.03%) women in 2005 as compared to 51 (73.91%) in 2012. The main indication for laparoscopy was infertility throughout the study period (61.38%), followed by chronic pelvic pain (CPP) (11.38%) and abnormal uterine bleeding (AUB) (9.4%). Conclusion. Over the years, there has been a rise in the rate of operative laparoscopy. Though the indications for laparoscopy have remained almost similar during the years, laparoscopy for diagnosis and treatment of CPP and AUB has now increased.
目的。探究妇科腹腔镜诊断或手术操作的使用指征变化趋势。方法。这是一项针对2005年1月至2012年12月期间在德里一家三级护理中心妇产科接受腹腔镜手术的417名女性的临床审计。结果。2005年1月至2012年期间共进行了417例诊断性和手术性腹腔镜手术。在417名女性中，13名女性因数据不足被排除在研究之外。208名（51.4%）女性仅接受了诊断性腹腔镜检查，而196名（48.6%）患者在初始诊断程序后接受了手术性腹腔镜检查。观察到2005年至2012年诊断性与手术性程序的趋势变化。与2012年的51名（73.91%）相比，2005年进行手术性程序的女性有10名（37.03%），呈上升趋势。在整个研究期间，腹腔镜检查的主要指征是不孕症（61.38%），其次是慢性盆腔疼痛（CPP）（11.38%）和异常子宫出血（AUB）（9.4%）。结论。多年来，手术性腹腔镜检查的比例有所上升。尽管这些年来腹腔镜检查的指征几乎保持不变，但现在用于诊断和治疗CPP和AUB的腹腔镜检查有所增加。
