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1991年8月～1992年5月53例腹腔镜下盆腔脓物切除术者中17例行阴道切开术摘除肿物,均在腹腔镜直视下用套管针协助经阴道行切开术。 术前行常规化验检查,包括CA125和盆腔B超或CT扫描,清水加硫酸镁灌肠及预防性使用抗生素。 患者取膀胱切石位,常规准备腹部和阴道。11例有子宫,用子宫操纵器;均用气管插管。用4个套管针。先在脐部穿刺,用10mm腹腔镜观察。下腹两侧用两个5mm手术套管针。第四个用5或10～11mm套管针,放在耻骨联合上1cm中线上。系统地检查整个腹腔及上腹部。然后仔细检查盆腔。如果怀疑肿瘤为恶性或潜在低度恶性的可能,用冲洗、抽吸器冲洗腹腔。用鞘内法仔细切割肿
August 1991 ~ May 1992 53 cases of laparoscopic pelvic pus resection of 17 patients underwent vaginal incision removal of the tumor, were under laparoscopic direct trocar assisted vaginal incision . Preoperative routine laboratory tests, including CA125 and pelvic ultrasound or CT scan, water plus magnesium sulfate enema and prophylactic antibiotics. Patients with bladder stone position, routine preparation of the abdomen and vagina. 11 cases of uterus, with uterine manipulators; are tracheal intubation. Use 4 trocars. First umbilical puncture, with 10mm laparoscopic observation. Lower abdomen with two 5mm surgical trocar. The fourth with 5 or 10 ~ 11mm trocar on the pubic symphysis on the 1cm midline. Systematically check the entire abdominal cavity and upper abdomen. Then carefully check the pelvis. If suspicion of malignancy or potentially low-grade malignancy possible, wash the abdominal cavity with a flush and aspirator. Use intrathecal carefully cut swollen