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目的:探讨腹腔镜在妇科急腹症中应用的可行性、安全性及治疗效果。方法:对2009年10月～2010年10月76例妇科急腹症患者应用腹腔镜进行诊断与手术治疗情况分析。结果:76例妇科急腹症患者均在腹腔镜下完成手术,无1例中转开腹,有生育要求的患者均保留了输卵管,无术中及术后并发症。结论:腹腔镜手术在妇科急腹症中能明确诊断并同时进行治疗,具有创伤小、出血少、并发症少、术后恢复快等优点,休克型异位妊娠和盆腔脓肿不再是腹腔镜手术的禁忌证。
Objective: To investigate the feasibility, safety and therapeutic effect of laparoscopy in gynecological acute abdomen. Methods: From October 2009 to October 2010, 76 cases of gynecologic acute abdomen were diagnosed and treated by laparoscopy. Results: All the 76 patients with gynecologic acute abdomen had undergone laparoscopic surgery. None of them underwent laparoscopic surgery. All patients with reproductive requirements retained tubal, no intraoperative and postoperative complications. Conclusion: Laparoscopic surgery in gynecologic acute abdomen can be diagnosed and treated at the same time, with less trauma, less bleeding, fewer complications, faster recovery and so on. Shock-type ectopic pregnancy and pelvic abscess are no longer laparoscopic Contraindications for surgery.