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近10年来妇科手术已从经典的剖腹术转向“最小损伤”的腹腔镜手术,我院1988年开始应用诊断性腹腔镜,1995年8月～10月在电视腹腔镜下成功地施行了妇科附件手术41例,现报告如下。 临床资料 1.一般资料:41例均为住院病人,年龄最大43岁。最小21岁,平均年龄31岁。其中宫外孕29例,卵巢囊肿12例(囊肿最大6cm×7cm,最小3cm×4cm)。 2.麻醉方法:本组41例均采用气管内插管麻醉,因全麻腹肌松弛完全,对体位、呼吸、心血管均无影响,镇痛效果强。
In the past 10 years, gynecological surgery has shifted from classic laparotomy to “minimal injury” laparoscopic surgery. Our hospital started to use diagnostic laparoscopy in 1988, and successfully performed gynecological attachments under laparoscopy from August to October 1995. 41 cases of surgery, are as follows. Clinical data 1. General information: 41 cases were hospitalized patients, the oldest 43 years old. Minimum 21 years old, average age 31 years old. Including 29 cases of ectopic pregnancy, ovarian cysts in 12 cases (maximum cyst 6cm × 7cm, minimum 3cm × 4cm). 2. Anesthesia: The group of 41 cases were used endotracheal intubation anesthesia, abdominal muscle relaxation due to general anesthesia, the position, breathing, cardiovascular no effect, analgesic effect.