[1]周晓梅,刘小乐,伍丽群,等.腹腔镜在妊娠期急腹症诊疗中的应用[J].中国微创外科杂志,2006,06(6):454-455.
　Zhou Xiaomei,Liu Xiaole,Wu Liqun,et al.Application of laparoscopic techniques in the diagnosis and treatm ent of abdom inal em ergency during pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2006,06(6):454-455.
点击复制

腹腔镜在妊娠期急腹症诊疗中的应用()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
06
期数:
2006年6期
页码:
454-455
栏目:
出版日期:
2006-06-20

文章信息/Info

Title:
Application of laparoscopic techniques in the diagnosis and treatm ent of abdom inal em ergency during pregnancy　
作者:
周晓梅; 刘小乐; 伍丽群; 魏辉①; 严爱霞③
深圳市福田人民医院妇产科,深圳,51803
Author(s):
Zhou Xiaomei;  Liu Xiaole;  Wu Liqun;  et al.
Department of Obstetrics& Gynecology, Futian People’s Hospital, Shenzhen 518033, China
关键词:
妊娠期; 急腹症; 腹腔镜
Keywords:
Pregnancy; 　Acute abdominal emergency; 　Laparoscopy
分类号:
R714.1;R656.1
文献标志码:
A
摘要:
目的评价腹腔镜在妊娠期急腹症的临床诊疗价值. 方法回顾分析1997年6月～2004年10月40例孕周在7～17周(平均13.2周)的妊娠期急腹症临床资料,其中宫内宫外妊娠16例,卵巢扭转3例,卵巢囊肿蒂扭转5例,急性胆囊炎5例,急性阑尾炎11例,应用腹腔镜诊断及治疗. 结果 40例均在腹腔镜下明确诊断,除1例宫内宫外妊娠盆腔粘连严重中转开腹外,余全部手术成功.手术时间25～70 min,平均38.2 min.术后皮下气肿1例.术后随访36例,先兆流产3例,难免流产3例,早产1例,足月分娩31例. 结论腹腔镜手术治疗早、中期妊娠急腹症安全有效.
Abstract:
Objective　To assess the value of laparoscopy in the diagnosis and treatment of abdominal emergency during pregnancy.　M ethods　Clinical data of40 cases of abdominal emergency at7~17 gestationalweeks (mean, 13·2 weeks) from June 1997 toOctober2004 were retrospectively reviewed. Therewere 16 cases ofuterinewith ectopic pregnancy, 3 cases of twisted ovary, 5 cases of pedicel torsion of ovarian cyst, 5 cases of acute cholecystitis, and 11 cases of acute appendicitis. The diagnosis and treatmentwere conducted under laparoscope.　Results　The confirmative diagnosiswas clarified under laparoscope in all the cases. Except1 case of conversion to open surgery, the operationwas accomplished laparoscopically in all cases. The operation timewas25~ 70 min (mean, 38·2 min). Surgical complications occurred in 1 case. During postoperative follow-up observations, therewere 3 cases of threatened abortion, 3 cases of inevitable abortion, and 1 case of premature delivery.　Conclusions　Laparoscopic operation is safe and effective for acute abdominal emergency during early-to-middle pregnancy.

参考文献/References:

[1]Yao M,Tulandi T.Current status of surgical and nonsurgical management of ectopic pregnancy.Fertil Steril,1997,67(3):421-423.
[2]Rizzo AG.Laparoscopic surgery in pregnancy:long-term follow-up.J Laparoendosc Adv Surg Tech A,2003,13(1):11-15.
[3]向国安,陈开运,高鹏.腹腔镜在急腹症中的应用.中国微创外科杂志,2005,5(8):651-658.
[4]Sungler P,Heinerman PM,Steiner H,et al.Laparoscopic cholecystectomy and interventional endoscopy for gallstone complications during pregnancy.Surg Endosc,2000,14:267-271.
[5]王琼,庄广论,李洁.IVF-ET中自然流产率的相关因素的分析.中国优生与遗传杂志,2003,11(1):66-67.
[6]Yuen PM,Leung PL.Outcome in laparoscopic management of persistent adnexal mass during the second trimester of pregnancy.Surg Endosc,2004,18(9):1354 -1357.
[7]Fatum M,Rojansky N.Laparoscopic surgery pregnancy.Obstet Gynecol Surv,2001,56:50-59.
[8]Martin IG,Dexter SP,McMahon MJ.Laparoscopic cholecystectomy in pregnancy.A safe option during the second trimester.Surg Endosc,1996,10:508-510.

备注/Memo

备注/Memo:
①（中山医科大学深圳泌尿外科医院外科,深圳,518001），②（中山医科大学深圳泌尿外科医院妇科,深圳,518001）　　
更新日期/Last Update: 2014-01-27