【摘要】 目的 :探讨宫腔镜手术时腹腔镜监护的临床应用价值。方法 :1995年 3月至 1999年 3月宫腔镜电切术 6 72例 ,12 8例高危病例行腹腔镜监护。结果 :腹腔镜检查发现有盆腔并存病变 2 0例 ,术时见局部浆膜起水泡 1例 ,子宫不全穿孔 1例 ,术终发现子宫穿孔 2例 ,1例切除子宫 ,1例腹腔镜处理。结论 :腹腔镜监护宫腔镜手术可及时发现子宫穿孔的先兆及子宫穿孔 ,并进行腹腔镜下电凝止血及缝合 ,但不能完全避免子宫穿孔的发生 ,故术终应再次腹腔镜检查盆腔。更多还原

【Abstract】 Objective: To access the clinical efficacy of hysteroscopic surgery monitored by vedio laparoscopy.Methods: Since March 1995 to March 1999 there were 672 cases of hysteroscopic surgeries.Among them 128 high risk procedures were monitored by laparoscopy.Results: Twenty cases of complicated diseases were found by laparoscopy.During operation 1 case of serosa bubble and 1 case of incomplete uterine perforation were observed.While operation finished, 2 cases of uterine perforation were found,1 case had hysterectomy and another was treatd under laparoscoy.Conclusions: Hysteroscopic procedures monitored by vedio laparoscopy can be used to find the impeding utering perforation and uterine perforation,can coagulate bleeding and suture the cleft.Uterine perforation can not be avoided by laparoscopic monitoring.Therefore pelvic organs have to be checked with laparoscopy again when operation finished.更多还原