文章摘要
刘翠萍,覃又文,刘超,侯馨德,武正炎,沈美萍,王淑玉,郑漪霖,杨乃明,刘嘉茵,冒韵东.电视腹腔镜手术治疗子宫内膜异位症及不孕症[J].南京医科大学学报,2000,20(01):
电视腹腔镜手术治疗子宫内膜异位症及不孕症
Video Laparoscopic Surgeries in Endometriosis and Infertility
  
DOI:10.7655
中文关键词: 子宫内膜异位症, 不孕症,腹腔镜检查, 外科手术
英文关键词: endometriosis, infertility, laparoscopy, surgery, operative
基金项目:
刘翠萍  覃又文  刘超  侯馨德  武正炎  沈美萍  王淑玉  郑漪霖  杨乃明  刘嘉茵  冒韵东
南京医科大学第一附属医院妇产科 南京 210029;南京医科大学第一附属医院妇产科 南京 210029;南京医科大学第一附属医院妇产科 南京 210029;南京医科大学第一附属医院妇产科 南京 210029;南京医科大学第一附属医院妇产科 南京 210029;南京医科大学第一附属医院普外科 南京 210029;南京医科大学第一附属医院普外科 南京 210029;南京医科大学第一附属医院普外科 南京 210029;南京医科大学第一附属医院内分泌科 南京 210029;南京医科大学第一附属医院内分泌科 南京 210029;南京医科大学第一附属医院内分泌科 南京 210029;
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中文摘要:
      目的 探讨采用经角膜下方小梁切除术治疗玻璃体切割联合硅油注入术后并发高眼压的疗效。方法 对18例(18眼)硅油注入术后并发高眼压者采用经角膜下方小梁切除术。结果 随访3个月,所有病例滤过泡均扁平、弥散,在未使用降眼压药的情况下,眼压稳定在2.40kPa以下,且无1例硅油留前房。结论 该术式不仅眼效果好,而且硅油不易溢入前房,解决了长期以来硅油注入术后高眼压难以处理的问题。
英文摘要:
      Objective To evaluate the efficiency of video laparoscopic surgery in endometriosis and infertility. Methods Fifty-nine women with endometriosis or infertility from our department were treated. Intervention(s): The video laparoscopic operations included adhesiolysis, coagulating small endometriosis implants, removal or partial removal endometriosis cyst or opening endometriosis cyst and coagulating cystic liner, oophorectomy. For infertility, adhesiolysis of distal fallopian tube, expending of fimbria or salpingostomy or fimbrioplasty were performed. Tubal patency was confirmed at laparoscopy by observation of the passage of methylene blue from vagiua through the fimbrial openings of the tubes. Results 20 patients with endometriosis after operations were follow up (2 to 27 months), symptoms disappeared or significant improved in 12 of 15 patients who had dysmenorrhea previously and 3 patients no any change. There were no recurrences after operations in 7 patients with removed endometrial cysts. The seven of 17 patients in endometriosis and infertility had pregnancies after operations between the period from 1 to 7 month. Ten patients of 20 patients with infertility have pregnancies after operations. There was no severe complications. Only 2 patients had omalgia and one had acute pelvic infection one week after operation through coitus. Two patients received laparotomy. Conclusion Video laparoscopic surgeries are suitable for treatment of endometriosis and infertility.
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