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本文报告作者对82例妇女在进行胚胎移植(I-VF-ET)过程中应用腹腔镜粘连松解术的经验及在重复性腹腔镜检时对盆腔情况的重新评价。腹腔镜手术是在气管内麻醉下进行。排空膀胱,取仰卧位,用 Veress 针向腹腔内注入 CO_2 2～4 L,通过脐下切口穿入一10mm 手术腹腔镜,探查盆腔。在直视下于下腹部无粘连处穿入第二穿刺针,用腹腔镜钝性分离或通过手术镜放入一剪刀游离粘连,或通过手术镜及第二穿刺针放入紧握钳借牵拉分离粘连,以游离并能接近卵巢,必要时用电灼器切断厚的,有血管的粘连,电凝出血点。
This article reports the authors’ experience with laparoscopic adhesiolysis in 82 women undergoing embryo transfer (I-VF-ET) and their re-evaluation of the pelvis during repeat laparoscopy. Laparoscopic surgery is performed under endotracheal anesthesia. Empty the bladder, supine position, with Veress needle peritoneal injection of CO 2 2 ~ 4 L, through the umbilical incision into a 10mm laparoscopic surgery, pelvic exploration. Under direct vision in the lower abdomen non-adhesion into the second puncture needle, with laparoscopic blunt dissection or through the surgical mirror into a scissors free adhesion, or through the surgical mirror and the second puncture needle into the grip forceps Pull separation adhesions to free and can be close to the ovary, if necessary, the use of electrocautery cut thick, with vascular adhesions, coagulation bleeding point.