【摘要】 目的探讨腹腔镜诊断治疗辅助生育技术并发症的应用价值。方法回顾性分析1999年7月￣2004年12月该院妇科微创治疗中心应用腹腔镜诊断治疗辅助生育技术并发症患者的临床资料。手术包括输卵管切开吸胚术、患侧或双侧输卵管切除术、输卵管间质部切开吸胚术、输卵管造口术、卵巢囊肿剔除术、卵巢修补术、卵泡穿刺放液术、卵巢部分切除术、卵巢电凝止血术、卵巢扭转复位术、附件切除术、腹腔镜辅助的清宫术及盆腔粘连松解术等。结果镜下手术成功29例(90.63%),中转开腹3例(9.37%),无手术并发症,手术时间(52.30±2.39)min,全组无手术死亡。结论腹腔镜手术能安全有效地应用于辅助生育技术并发症的诊断及治疗,提高对该类疾病的认识,及时腹腔镜手术不仅可明确诊断,早期干预,还可为保守性手术赢得时间,尽可能保留生育功能。更多还原

【Abstract】 【Objective】 To explore the clinical value of laparoscopic surgery in treatment of complications of ART.【Method】Retrospective analysis 32 cases of laparoscopic surgery in treatment of complications of ART. In-cluding salpingectomy,salpingotomy,salpingostomy,excision and enucleation of ovarian masses,repair of ovary,perforation of ovary,oophorectomy or lutectomy,follicular puncture,adnexnectomy,lysis of pelvic adhesions.【Re-sults】There is no death,29 cases success with laparoscopy,and 3 cases conversing to laparotomy. Complications occurred in no patient. 【Conclusion】 Laparoscopic surgery can be safely and effectively utilized in treatment of complications of ART. Laparoscopy can retain the organs and their functions. Knowledge of these complications and early laparoscopic surgery are important for early diagnosis with the aim of improving therapy and gaining the benefit of more conservative treatment.更多还原