Bateman B G, Kolp L A, Hoeger K
Department of Obstetrics and Gynecology, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Fertil Steril. 1996 Jul;66(1):30-5.
To assess the characteristics and rates of complications for operative laparoscopy and diagnostic laparoscopy.
Retrospective review.
Tertiary-care university hospital.
Two thousand three hundred twenty-four patients undergoing operative laparoscopy or diagnostic laparoscopy.
Operative laparoscopy including lysis of adhesions, tubal surgery, ovarian surgery, uterine surgery, or destruction of endometriosis.
Complication rates for operative and diagnostic laparoscopies were tabulated and compared.
The overall major complication rate for this series of 2,324 laparoscopies was 0.22%. There were five major and 15 minor complications. In the operative laparoscopy group, there were more complications from Veress needle and trocar insertion (n = 15) than from the actual operative procedures (n = 3). There were more total complications in the operative laparoscopy group (n = 18) than in the diagnostic laparoscopy group (n = 3).
Operative laparoscopy is efficacious for a variety of gynecologic surgical procedures.
评估手术性腹腔镜检查和诊断性腹腔镜检查的并发症特征及发生率。
回顾性研究。
三级医疗大学医院。
2324例行手术性腹腔镜检查或诊断性腹腔镜检查的患者。
手术性腹腔镜检查包括粘连松解术、输卵管手术、卵巢手术、子宫手术或子宫内膜异位症破坏术。
将手术性和诊断性腹腔镜检查的并发症发生率制成表格并进行比较。
这2324例腹腔镜检查的总体主要并发症发生率为0.22%。有5例主要并发症和15例次要并发症。在手术性腹腔镜检查组中，Veress针和套管针插入引起的并发症（n = 15）比实际手术操作引起的并发症（n = 3）更多。手术性腹腔镜检查组的总并发症（n = 18）比诊断性腹腔镜检查组（n = 3）更多。
手术性腹腔镜检查对多种妇科手术有效。
