摘要
目的评价腹腔镜对小肠出血的诊断与治疗。方法回顾性分析2003年9月～2005年12月间39例腹腔镜诊治小肠出血的临床资料,并对腹腔镜手术时间、术中失血、切口长度、术后排气时间、术后住院天数、并发症进行统计分析。结果腹腔镜不仅明确所有39例小肠出血的诊断,而且同时实施相应的腹腔镜手术。腹腔镜手术时间为70.3±32.6min,术中失血为16.1±12.4ml,切口长度为3.6±1.3cm,术后排气时间为2.3±0.8d,术后住院天数为7.9±3.1d。2例(5.1%)术后出现吻合口糜烂出血和束带粘连性小肠梗阻的并发症。结论腹腔镜不仅对小肠出血具有很高的诊断价值,而且可以实施安全、可行、微创的手术治疗。
Objective To evaluate diagnosis and treatment of small intestinal bleeding by laparoscopy. Methods The clinical data of 39 patients with small intestinal bleeding admitted to our hospital from Sep. 2003 to Dec. 2005, who underwent laparoscopic diagnosis and surgical procedure, were retrospectively analyzed. The operative time, blood loss, length of incision, the time for passage of flatus, post-operative hospital stay and operative complications were also statistically analyzed. Results All 39 patients were diagnosed and treated by laparoscopic procedure successfully. The mean operative time was 70.3 ±32.6 min, the mean blood loss was 16. 1 ± 12. 4 ml, the mean length of incision was 3.6 ± 1.3 cm, the mean time for passage of flatus was 2.3 ± 0.8 days and the post-operative hospital stay was 7.9 ± 3.1 day. Two patients （5. 1%） had anastomosis bleeding and adhesive intestinal obstruction. Conclusion Laparoscopic exploration is useful to diagnose the small intestinal bleeding accurately, and laparoscopy can make this surgical procedure performed more safely and less invasively.
出处
《腹部外科》
2006年第3期141-143,共3页
Journal of Abdominal Surgery
关键词
外科学
腹腔镜
小肠
出血
诊断
Surgical procedures, laparoscopy
Intestlne, small
Bleeding
Diagnosis
