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目的：研究妇科腹腔镜术后深静脉血栓的发生率。方法：澳大利亚悉尼 Ｌｉｖｅｒｐｏｏｌ 医院１９９７ 年５ ～９ 月，７２例妇科腹腔镜手术采用 Ｄｏｐｐｌｅｒ 超声检查静脉血流的通畅性和血管腔内的回声团用以诊断深静脉血栓。６１ 例患者充气时间＜ ６０ ｍｉｎ 为小手术组，１１ 例＞ ６０ｍｉｎ 为大手术组。每例患者在术后２４ｈ 内及术后７ｄ 行两次超声 Ｄｏｐｐｌｅｒ 检查。７２ 人均行术后２４ｈ 内的超声 Ｄｏｐｐｌｅｒ 检查，小手术组６１ 例中４０ 例、大手术组１１ 例中９ 例行二次超声检查。２３ 例未行二次超声检查者均行电话随访。结果：研究中两组患者均未发现 Ｄ Ｖ Ｔ。该文同时报道北京复兴医院１ 例腹腔镜下右卵巢巧克力囊肿剥除术、左卵巢及部分输卵管切除术患者术后并发 Ｄ Ｖ Ｔ 的诊断及治疗经过。结论：该项研究证实妇科腹腔镜手术 Ｄ Ｖ Ｔ 虽发生率极低，一旦发生须及时诊治，以免发生肺栓塞等致命并发症。
Objective: To study the incidence of deep vein thrombosis after gynecological laparoscopic surgery. Methods: Liverpool Hospital, Sydney, Australia From May 1997 to September 1997, 72 cases of gynecologic laparoscopic surgery were examined by Doppler ultrasonography for venous patency and echo group in the vascular cavity for the diagnosis of deep vein thrombosis. 61 cases of inflatable time <60 min for the small surgery group, 11 cases> 60min for the major surgery group. Every patient underwent ultrasound Doppler examination within 24 hours after operation and 7 days after operation. Ultrasound Doppler examination was performed in 72 patients within 24 hours after operation, in 40 cases in 61 cases in small surgery group and 9 cases in 9 cases in large surgery group. Twenty-three patients who did not perform secondary ultrasonography were followed up by phone. RESULTS: D V T was not found in both groups in the study. The article also reported a case of laparoscopic right ovarian chocolate cyst removal surgery at Beijing Fuxing Hospital and the diagnosis and treatment of postoperative complications of left ovary and partial salpingomyelitis. Conclusion: This study confirmed that the incidence of gynecologic laparoscopic surgery is extremely low, and should be diagnosed and treated in time to avoid fatal complications such as pulmonary embolism.