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目的:探讨腹腔镜手术进入腹腔的方法。方法:将腹腔镜进入腹腔的方法分为:A组采用气腹前自脐正中直接切开进入腹腔,安放套管针、置镜确诊后进气形成人工气腹;B组传统的应用气腹针形成人工气腹后,盲穿安放套管针、置镜。结果:两组在进入腹腔、置镜、形成人工气腹时间、并发症、成功率上对比差异有统计学意义。结论:脐正中切开直接进入腹腔、置镜确诊后进气形成人工气腹是腹腔镜手术进入腹腔安全、有效、快捷的方法。
Objective: To explore the method of laparoscopic surgery into the abdominal cavity. Methods: The method of laparoscopic into the abdominal cavity is divided into: A group before pneumoperitoneum straight from the umbilical incision directly into the abdominal cavity, placing the trocar, set the mirror into the air after the formation of artificial pneumoperitoneum; Group B traditional application of pneumoperitoneum After the formation of artificial pneumoperitoneum, the blind wear put trocar, set the mirror. Results: There were significant differences between the two groups in the time of entering the abdominal cavity, the setting of the mirror, the formation of artificial pneumoperitoneum, the complication and the success rate. Conclusion: The middle umbilical incision directly into the abdominal cavity, the diagnosis of inverted pneumoconiosis into the formation of artificial pneumoperitoneum laparoscopic surgery into the abdominal cavity safe, effective and efficient method.