摘要
目的:探讨腹腔镜技术在普通外科急腹症及腹部外伤诊治中的临床效果及应用价值。方法:回顾分析2008年10月至2013年10月应用腹腔镜技术诊治248例普通外科急腹症及腹部外伤患者的临床资料。结果:248例均在腹腔镜探查下明确诊断,211例成功完成腹腔镜手术,37例(14.92%)中转开腹;发现术前误诊11例、腹腔无明显病变及脏器损伤5例,共16例(占6.45%)。死亡2例。结论:腹腔镜技术诊治急腹症及腹部外伤具有独特优点,在快速明确诊断减少误诊的同时可一并于镜下进行治疗;镜下不能处理的患者也可为开腹手术提供合理方案及路径,是积极、微创、安全的诊治方法,患者创伤小、痛苦轻、康复快,值得推广应用尤其基层医院。
Objective：To investigate the effect and value of laparoscopic diagnosis and treatment fi）r acute abdomen and abdominal injuries in department of general surgery. Methods ：The clinical data of 248 patients of acute abdomen and abdominal injuries who underwent laparoscopic diagnosis and treatment in department of general surgery were analyzed retrospectively from Oct. 2008 to Oct. 2013. Results：Diagnosis was clarified laparoscopically in all 248 patients. 211 cases were treated with laparoscopic surgery,37 cases were converted to open operation （ 14.92% ）. 11 cases were misdiagnosed preoperatively,and no problem was found in 5 cases, there were 16 cases （6.45%） in total. 2 patients died. Conclusions：Emergency laparoscopy has unique advantages for the diagnosis and treatment of acute abdomen and abdominal injuries. It can not only quickly confirm the diagnosis, but also perform laparosc, opic therapy in the same time. It can provide a reasonable solution and the path to open surgery when laparoscopie treatment can not be done. It is a positive, minimally invasive and safe method for the diagnosis and treatment with fewer trauma, less pain and faster recovery. It is worthy of clinical application, especially in primary hospitals.
出处
《腹腔镜外科杂志》
2014年第6期460-462,共3页
Journal of Laparoscopic Surgery
关键词
急腹症
腹部外伤
腹腔镜检查
诊断
治疗
Abdomen, acute
Abdominal injuries
Laparoscopy
Diagnosis
Treatment
