Riedel H H, Brosche T, Fielitz J, Lehmann-Willenbrock E, Semm K
Frauenklinik und Endoskopiezentrum des Städtischen Heinrich-Braun-Klinikum Zwickau.
Zentralbl Gynakol. 1995;117(8):402-12.
The first statistical report on pelvioscopy/laparoscopy of total Germany covers a five years period from 1989, 01.01 to 1993 31.12. It includes a total of 461,568 pelvioscopies/laparoscopies from 374 hospitals and 52,861 pelvioscopies/laparoscopies from 116 medical practitioners. Hospitals' response rate was 43% with 99.2% reporting pelvioscopy/laparoscopy. The response rate of medical practitioners was 41% with 97.4% performing same methods. During the five year period of survey, hospitals reported a total of 2095 serious complications requiring laparotomy or control laparoscopy (complication rate = 4.5/1000). Medical practitioners reported a total of 197 serious complications (complication rate = 3.7/1000). Compared with the data of the fourth statistical survey of laparoscopy (1986 to 1988) there is a remarkable increase in serious complications. Most of them are mechanical lesions of blood vessels in the abdominal wall or in the mesosalpinx, followed by mechanical lesions of the intestine. Also remarkable is the observation that pelvioscopy/laparoscopy as surgical method is continuously increasing. As shown in previous statistics on pelvioscopy for tubal sterilization the bipolar technique is the most popular one for both hospitals and medical practitioners. It is followed by endocoagulation after Semm whereas mechanical techniques are of little importance. The monopolar high frequency current is still used in 9.6% by hospitals and 8.8% by medical practitioners, with and without transsection. Sterilization failure rate remains nearly at the same levels as it was reported previously: 1.6/1000 in hospitals and 3.7/1000 in private practices. The highest failure rate was observed after the use of monopolar HF-techniques. 82.5% of the hospitals and 65% of the medical practitioners reported tendency in performing endoscopy by surgery is continuously increasing.
第一份关于全德国盆腔镜检查/腹腔镜检查的统计报告涵盖了从1989年1月1日至1993年12月31日的五年时间。它包括来自374家医院的总共461,568例盆腔镜检查/腹腔镜检查以及来自116名医生的52,861例盆腔镜检查/腹腔镜检查。医院的回复率为43%，其中99.2%报告了盆腔镜检查/腹腔镜检查情况。医生的回复率为41%，其中97.4%采用了相同的方法。在五年的调查期内，医院共报告了2095例需要开腹手术或控制腹腔镜检查的严重并发症（并发症发生率 = 4.5/1000）。医生共报告了197例严重并发症（并发症发生率 = 3.7/1000）。与腹腔镜检查第四次统计调查（1986年至1988年）的数据相比，严重并发症有显著增加。其中大多数是腹壁或输卵管系膜血管的机械性损伤，其次是肠道的机械性损伤。同样值得注意的是，盆腔镜检查/腹腔镜检查作为一种手术方法在持续增加。如先前关于输卵管绝育盆腔镜检查的统计所示，双极技术是医院和医生最常用的方法。其次是Semm法后的内膜凝固术，而机械技术不太重要。单极高频电流仍被9.6%的医院和8.8%的医生使用，有或无横切。绝育失败率与之前报告的水平基本相同：医院为1.6/1000，私人诊所为3.7/1000。使用单极高频技术后观察到的失败率最高。82.5%的医院和65%的医生报告称通过手术进行内窥镜检查的趋势在持续增加。
