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对45例15～75岁患者进行腹腔镜检查,麻醉方法的选择,视患者一般状况和神经类型。0.25％奴佛卡因局麻加肌注强化剂。19例气管插管下腹腔镜检查。取腹中线脐下1～1.5cm,借助器具安放套针观察气腹,利用二氧化碳气体进行腹腔镜气腹。腹腔镜对腹腔和盆腔器官构造范围的鉴别诊断,4例卵巢癌不宜手术,2例左侧卵巢囊肿,1例肝硬化腹水,2例小盆腔全部粘连不能松解。腹腔和生殖器官外科急症腹腔镜鉴别
45 cases of 15 to 75 years old patients undergoing laparoscopy, anesthesia method of choice, depending on the general condition and type of nerve. 0.25% Novocaine local anesthetic intramuscular injection intensifier. 19 cases of laparoscopic tracheal intubation. Take the belly line umbilical 1 ~ 1.5cm, with the aid of trocar device to observe the pneumoperitoneum, the use of carbon dioxide gas laparoscopic pneumoperitoneum. Laparoscopy on the differential diagnosis of abdominal and pelvic organ structure, 4 cases of ovarian cancer should not be surgery, 2 cases of left ovarian cysts, 1 case of cirrhosis and 2 cases of small pelvic adhesions can not be released. Abdominal and genital surgery emergency laparoscopic identification