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为了防止闭合式腹腔镜充气及套管穿刺所引起的严重损伤及并发症的发生,我们自1982年以来用自制的简易套管,采用开放式腹腔镜检查法,现介绍如下。资科与方法一、一般资料本组年龄在18～63岁之间,平均32.7岁。全部病例均采用连续硬膜外麻醉。207例中痛经或可疑子宫内膜异位症者79例,盆腔肿块58例,不孕57例,生殖器畸形6例,复孕术前检查5例。本组经腹腔镜检查后,需即刻开腹手术者152例,均在未更换麻醉下行开腹手术。二、方法以临床诊断不明的患者作为检查对象,严格
In order to prevent the closed laparoscopic inflatable and cannula puncture caused by serious injury and complications, we have since 1982 with a simple cannula, using open laparoscopy, are presented below. Materials and methods First, the general information The group aged 18 to 63 years old, with an average of 32.7 years old. All cases were treated with continuous epidural anesthesia. 207 cases of dysmenorrhea or suspicious endometriosis in 79 cases, 58 cases of pelvic mass, 57 cases of infertility, genital malformations in 6 cases, 5 cases of preoperative pregnancy check. The group after laparoscopy, 152 patients need immediate laparotomy, were underwent open laparoscopic surgery without replacement of anesthesia. Second, the method to patients with unknown clinical diagnosis as a test object, strict