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腹腔镜在诊断不明确的急腹症和腹部外伤诊治中的应用 被引量:6

Application of laparoscopic diagnosis and treatment in the surgic acute abdomen and abdominal trauma
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摘要 目的探讨和分析腹腔镜诊断和治疗急腹症及腹部外伤的价值。方法对具有开腹探查指征的61例不明确诊断的急腹症及腹部外伤患者进行腹腔镜探查,根据探查情况决定具体术式。结果61例均行腹腔镜探查,60例明确诊断,50例避免开腹手术,手术并发症3例,无死亡病例。结论腹腔镜技术不仅对外科急腹症和腹部外伤能明确诊断,避免不必要的开腹探查,同时又能进行腹腔镜下手术治疗,具有良好的临床应用价值。 Objective To evaluate the value of laparoscopic diagnosis and treatment for acute abdomen and abdominal trauma. Methods Laparoscopic was used to diagnose 61 cases of acute abdomen or abdominal trauma who had the indication of laparotomy. According to the laparoscopic diagnosis decideded individu- al surgical method. Results The 61 patients were successfully operated laparoscopic exploration, 60 pa- tients had confirmed diagnosis, 50 avoided laparotomy. All patients recovered well. The complications were noted in 3 cases. Conclusions Not only could the diagnosis be made accurately for acute abdomen and abdominal trauma under laparoscopic exploration, but also laparoscopic treatment could be porformed for most patients. The method can be applied successfully clinically.
出处 《国际外科学杂志》 2013年第8期512-515,共4页 International Journal of Surgery
关键词 腹腔镜 急腹症 腹部 腹部损伤 Laparoseopes Abdomen, acute Abdomen Abdominal injuries
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