期刊文献+

腹腔镜在腹部外伤诊治中的应用价值分析 被引量:1

Applied value of laparoscopic diagnosis and treatment for emergency abdominal trauma
下载PDF
导出
摘要 目的探讨腹腔镜探查术在急诊腹部外伤诊治中的应用价值。方法回顾性分析我科自2005年8月至2010年10月收治的62例经腹腔镜探查的腹部外伤患者的临床资料。结果62例腹部外伤患者均于镜下作出诊断,诊断准确率100%。46例于镜下完成探查手术(其中探查阴性10例及腹膜后血肿2例未作特殊处理),16例中转开腹手术。手术时间40~180min,平均100min,住院时间3—24d,平均9d。所有患者均治愈,无肠漏、腹腔内大出血、腹腔脓肿等严重并发症。结论腹腔镜探查术应用于急诊腹部外伤具有创伤小、诊断准确率高、恢复快以及诊断和治疗兼顾等优点,可有效地降低阴性剖腹探查率,提高治愈率,值得基层医院广泛推广。 Objective To approach the clinical value of laparoscopic diagnosis and treatment for emergency abdominal trauma in the basic level hospital. Method The clinical data of 62 cases of emergency abdominal trauma, who were diagnosed and treated by laparoscopic approach in our department from Aug. 2005 to Oct. 2010 ,were retrospectively analyzed. Results All the 62 cases of emergency abdominal trauma were diagnosed by laparoscopy,and the accuracy rate was 100%. Forty -six cases underwent exploratory operation by laparoscopy (10 cases of negative result and 2 cases of retroperitoneal hematoma, without special handling) ,and 16 cases were converted to open operation. The operation time were between 40 to 180 minutes,and the mean value was 100. The lengths of stay were 3 to 24 days,and the mean value was 9. All cases had successful recovery after surgery without grave complications such as bowel leakage, peritoneal hemorrhea and peritoneal abscess. Conclusion Laparoscopic diagnosis and treatment for abdominal trauma have many advantages such as less trauma, higher diagnosis rate, quicker revival and giving consideration to both diagnosis and treatment, which reduces non - therapeutic laparotomies and raises cure rate. It deserves to be popularized in the basic level hospital.
出处 《临床外科杂志》 2011年第6期400-401,共2页 Journal of Clinical Surgery
关键词 腹腔镜 诊断 治疗 腹部外伤 laparoscopy diagnosis treatment abdominal trauma
  • 相关文献

参考文献3

二级参考文献17

  • 1李勇,张连阳.腔镜技术在胸、腹部创伤诊治中的应用[J].中国微创外科杂志,2007,7(5):486-487. 被引量:18
  • 2Chung RS, DiazJJ, ChariV. Efficacy of routine laparoscopy for the acute abdomen. Surg Endosc, 2004,3 : 219-221. 被引量:1
  • 3Mallat AF, Mancini ML, Daley BJ, et al. The role of laparoscopy in trauma:A ten-year review of diagnosis and therapeutics. Ame Surg,2007,12:1166-1170. 被引量:1
  • 4Choi YB, Lim KS. Therapeutic laparoscopy for abdominal trauma. Surg Endosc, 2003,17: 421-427. 被引量:1
  • 5Poole GV,Thomae KR, Hauser CJ. Laparoscopy in trauma. Surg Clin North Am, 1996,76 : 547. 被引量:1
  • 6Simon RJ, Rabin J, Kuhls D. Impact of increased use of laparoscopy on negative laparoscopy rates after penetrating trauma. Trauma, 2002,53 : 297-302. 被引量:1
  • 7Chol YB, Lim KS. Therapeutic laparoscopy for abdominal trauma. Surg Endosc ,2003,17 (3) :421 - 427. 被引量:1
  • 8Leppaniemi A, Haapiainen R. Occult diaphragmatic injures caused by stab wounds: a prospective, randomized study. J Trauma,2003, 55 (4) :636 - 645. 被引量:1
  • 9Goettler CE,Bard MR,Toschlog EA.Laparoscopy in trauma.Curr Surg,2004,61(6):554-559. 被引量:1
  • 10Simon RJ,Rabin J,Kuhls D.Impact of increased use of laparoscopy on negative laparoscopy rates after penetrating trauma.Trauma,2002,53(2):297-302. 被引量:1

共引文献32

同被引文献8

引证文献1

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部