摘要
目的探讨腹腔镜诊断技术在疑难腹部疾病诊治中的临床价值。方法分析53例疑难腹部疾病患者经腹腔镜诊治的临床资料。结果53例患者均获病因学诊断,其中诊断为腹腔结核28例,肠粘连19例,非何杰金氏病、晚期胃癌各2例,小肠平滑肌肉瘤、腹茧症各1例。29例(54.7%)明确诊断后予以内科治疗,18例(34.0%)同时采用腹腔镜治疗,4例(7.5%)中转开腹,2例(3.8%)明确诊断后延期接受开腹手术治疗。所有病例未发生并发症和死亡。结论腹腔镜诊断技术为疑难腹部疾病的诊断提供了有效手段,为后续治疗提供了可靠的依据。
Objective To evaluate the clinic application effect of laparoscopy in the diagnosis and treatment of agnogenic abdominal diseases. Methods The clinical data of 53 cases of agnogenic abdominal diseases who underwent laparoscopy were analyzed. Results The pathological causes of all 53 patients were documented through laparoscopy. Among them, abdominal cavity tuberculosis was confirmed in 28 cases, intestinal adhesion in 19 cases, non-Hodgkin＇s disease in 2, late gastric cancer in 2, leiomyosarcoma of small intestine in 1, and abdominal cocoon in 1. After diagnosis was clarified, 29 cases （54. 7% ） received medical treatment, 18 cases （34.0% ） were treated by therapeutic laparoscopy, 4 cases （7.5% ） by laparotomy, and 2 cases （ 3.8% ） by postponed operation. There were no complications and death in all patients after laparoscopy. Conclusion Laparoscopy is a safe and valuable means in the diagnosis and treatment of agnogenic abdominal diseases.
出处
《实用医院临床杂志》
2008年第4期56-57,共2页
Practical Journal of Clinical Medicine
关键词
腹腔镜
腹部疑难疾病
诊断和治疗
Laparoscopy
Abdominal diseases
Diagnosis and treatment
