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目的 探讨低压力气腹在妇科腹腔镜手术中的应用。方法 回顾分析 2年多对 81例妇科疾病应用低压力气腹进行腹腔镜手术治疗的经验。结果 81例均成功地实施了腹腔镜手术 ,无中转开腹。其中卵巢手术 4 2例 ,输卵管手术 30例、腹腔镜辅助下阴式全子宫切除术 9例。平均手术时间 36min ,平均住院天数 4 .8d ,术中出血量少许 ,无术中和术后并发症。结论 低压力气腹用于妇科腹腔镜手术具有出血少、恢复快、副作用少的优点 ,在妇科疾病治疗中是安全 ,可行的。
Objective To investigate the application of low pressure pneumoperitoneum in gynecological laparoscopic surgery. Methods A retrospective analysis of more than two years on 81 cases of gynecological diseases with low pressure pneumoperitoneum laparoscopic surgery experience. Results 81 cases were successfully implemented laparoscopic surgery, no transit laparotomy. There were 42 cases of ovarian surgery, 30 cases of tubal surgery, and 9 cases of laparoscopic assisted vaginal hysterectomy. The average operation time was 36 minutes, the average length of hospital stay was 4. 8 days. There was a small amount of intraoperative blood loss without intraoperative and postoperative complications. Conclusion Low pressure pneumoperitoneum has the advantages of less bleeding, quick recovery and less side effects in gynecological laparoscopic surgery, which is safe and feasible in the treatment of gynecological diseases.