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目的 探讨腹腔镜超声在妇科手术中的应用价值。方法 应用腹腔镜超声检查７例患者盆腔病变。结果 ①宫内节育器残留宫腔伴下腹痛１例， 经宫腔镜取出残环； ②原发不孕伴子宫内膜息肉１例，超声监导下切除息肉；③胚胎残留宫腔， 多次清宫后致宫腔粘连及高强回声灶１例， 在超声监视下切除粘连组织；④疑胎骨残留宫腔１例， 在超声监视下切除病变组织； ⑤右输卵管扩张、积水， 与盆腔粘连１例，手术解除粘连， 切除右侧输卵管；⑥双侧输卵管粘连、末端扩张积液１例， 手术切开末端， 放出积液；⑦双附件肿物１例（一侧为单纯囊肿， 一侧为畸胎瘤），行手术切除。结论 腹腔镜超声在监视复杂的宫腔镜手术及腹腔镜手术前的定位诊断上有独到的应用价值。
Objective To investigate the value of laparoscopic ultrasonography in gynecological surgery. Methods Laparoscopic ultrasound examination in 7 patients with pelvic lesions. Results ① IUD-residual uterine cavity with abdominal pain in 1 case, removal of the residual ring by hysteroscopy; ② primary infertility with endometrial polyps in 1 case, ultrasound-guided removal of polyps; ③ embryo residual uterine cavity, and more 1 cases of uterine cavity adhesions and high-intensity echogenic lesions after the second Qing, resection of adhesions under ultrasound monitoring; ④ suspected fetal bone residual uterine cavity in 1 case, removal of diseased tissue under ultrasound monitoring; ⑤ right fallopian tube dilatation, Adhesions in 1 case, surgery to remove adhesions, resection of the right fallopian tube; ⑥ bilateral tubal adhesions, the end of the expansion of effusion in 1 case, surgical incision end, effusion; ⑦ double annex mass in 1 case Side of teratoma), surgical resection. Conclusion Laparoscopic ultrasound in the monitoring of complex hysteroscopic surgery and laparoscopic surgery before positioning diagnosis has a unique value.