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1显微腹腔镜操作及手术指征显微腹腔镜的操作与传统腹腔镜相比,除了无需先气腹,可直接套管穿刺入腹腔,置入镜体,确定在腹腔内再完成气腹,其他步骤和操作两者都是一样的。由于显微腹腔镜镜头小,光纤束相对也少,所以我们认为其适合于操作要求比较精细的妇科腹腔镜检查和范围较小的手术操作。指征包括:诊断性检查和活检;盆腔粘连分解术;早期子宫内膜异位症的切除和电烧灼;单纯卵巢囊肿的剥除;输卵管绝育术;早期异位妊娠的诊断和治疗;不孕症检查和镜下通水;盆腔手术后的评价。
1 microscopic laparoscopic operation and surgical indications Microscopic laparoscopic operation compared with the traditional laparoscopy, in addition to without pneumoperitoneum, can be directly punctured into the celiac casing, into the mirror, to determine the completion of the abdominal cavity and then the pneumoperitoneum , The other steps and operations are the same for both. Due to the small size of the microscopic laparoscope and the relatively small number of fiber optic bundles, we believe it is suitable for gynecological laparoscopy and smaller surgical procedures requiring more sophisticated procedures. Indications include: diagnostic tests and biopsy; pelvic adhesions decomposition; early endometriosis resection and electrocautery; simple removal of ovarian cysts; tubal sterilization; diagnosis and treatment of early ectopic pregnancy; infertility Disease examination and microscopic examination of water; postoperative pelvic evaluation.