摘要
目的:探讨基层医院腹腔镜探查在外科急腹症中的应用价值。方法:通过对141例外科急腹症患者行腹腔镜探查及治疗的临床资料进行回顾性分析。结果:141例患者经腹腔镜探查全部明确诊断,其中122例在腹腔镜下完成治疗,术后并发肠梗阻1例,脐部穿刺孔感染1例,保守治疗治愈,无其他并发症发生;中转开腹19例,术后并发切口感染3例,肠梗阻2例,保守治疗治愈,膈下感染1例,在B超引导下穿刺置管引流治愈。随访1~20个月,腹腔镜下完成治疗的无远期相关并发症发生,开腹完成手术者1例术后肠梗阻反复发作。结论:随着腹腔镜技术的不断普及,腹腔镜探查在外科急腹症的诊治中,不仅可以明确诊断,且大部分能够完成腹腔镜下治疗,同时可以指导开腹手术的切口选择,值得在基层医院推广。
Objective：To investigate the application value of the retrospectively in surgical acute abdomen. Method：Analyzed the clinical data of 141 patients with acute abdomen who underwent the laparoscopic exploration and treatment of the laparoscopic exploration.Result：141 patients after laparoscopic exploration got the definite diagnosis,including 122 cases finished the treatment under the laparoscop treatment;1 cases was complicated by intestinal obstruction after operation;1 case of infection of umbilical puncture,but after the conservative treatment,no other complications occurred;laparotomy in 19 cases,3 cases were complicated by incision infection,2 cases of intestinal obstruction,cured after the conservative treatment,1 case of subphrenic infection,cured by guided percutaneous catheter drainage under B ultrasound.One month^20 months follow-up,surgeries under the laparoscopy has no long-term complications related to treatment. 1 case of postoperative ileus recurrently.Conclusion：With the popularization of laparoscopic technology,in the diagnosis and treatment of surgical acute abdomen,laparoscopy not only can confirm the diagnosis,and mostly can complete laparoscopic treatment,also can guide incision selection during the surgery,worthy of promotion in the primary hospitals.
出处
《中国医学创新》
CAS
2013年第25期125-126,共2页
Medical Innovation of China
关键词
腹腔镜
外科急腹症
探查
Laparoscope
Surgical acute abdomen
Exploration
