目的探讨有腹腔手术史妇科患者行腹腔镜手术治疗的可行性及适应证选择。方法有腹腔手术史妇科患者32例,其中异位妊娠12例,卵巢囊肿10例,子宫肌瘤8例,盆腔粘连2例。既往手术疾患分别为急性阑尾炎阑尾切除术、胆囊结石胆囊切除术、腹膜外剖宫产、异位妊娠附件切除、卵巢囊肿蒂扭转;按妇科腹腔镜操作规范施行腹腔镜术,总结分析腹腔粘连情况对手术方法、手术效果的影响。结果 32例中,行输卵管切除10例,附件切除12例,子宫肌瘤剜除5例,子宫切除3例,盆腔粘连松解2例。患者均顺利完成手术,无手术副损伤发生。结论对于有腹腔手术史的妇科疾患,通过严格筛选,可以完成腹腔镜下的再次手术。 Objective To investigate the feasibility and indications for gynecological patients undergoing laparoscopic surgery in the history of abdominal surgery. Methods There were 32 cases of gynecological history of abdominal surgery, including 12 cases of ectopic pregnancy, 10 cases of ovarian cysts, 8 cases of uterine fibroids, pelvic adhesions in 2 cases. Previous surgical disorders were acute appendectomy appendectomy, cholecystectomy cholecystectomy, extraperitoneal cesarean section, ectopic pregnancy attachment removal, ovarian cyst torsion; laparoscopic gynecological laparoscopic operation, summary analysis of abdominal adhesions The impact of surgical methods, surgical results. Results 32 cases of tubal resection in 10 cases, attachment resection in 12 cases, uterine fibroids in 5 cases, hysterectomy in 3 cases, pelvic adhesions in 2 cases. Patients were successfully completed surgery, no surgical injury occurred. Conclusion For gynecological diseases with a history of abdominal surgery, laparoscopic reoperation can be completed through rigorous screening.