摘要
目的:探讨单孔腹腔镜手术在临床急腹症诊断与治疗中的应用价值。方法:回顾分析为78例急腹症患者行单孔腹腔镜手术的临床资料。其中急性胆囊炎并胆囊结石39例,急性阑尾炎18例,腹部闭合性损伤2例,空腔脏器穿孔3例,16例术前不能确定诊断。结果:78例均经单孔腹腔镜探查确诊,术前不能确诊的16例患者中,急性腹膜炎并盆腔积液3例,急性输卵管炎2例,急性肠系膜淋巴结炎2例,不全性肠梗阻5例,腹腔肿瘤4例。69例在腹腔镜下成功施行手术治疗,7例中转开腹,2例明确诊断后行非手术治疗。患者均治愈出院,无术后并发症发生。结论:单孔腹腔镜对急腹症患者具有确定诊断与治疗的作用,术中探查范围广,可降低阴性剖腹探查率,实现整体微创、精准外科的目的,值得临床推广应用。
Objective： To discuss the application of single-port laparoscopy in diagnosis and treatment of acute abdomen. Methods： The clinical data of 78 patients with acute abdomen who underwent single-port laparoscopic operation were retrospectively analyzed. Among them,39 cases were acute calculous cholecystitis,18 cases were acute appendicitis,2 cases were abdominal closed injury,3 cases were perforation of hollow viscera,16 cases could not confirm diagnosis before operation. Results： All 78 patients were diagnosed by single-port laparoscopy,and the 16 patients,whose preoperative diagnoses were indefinite,were diagnosed as acute peritonitis and pelvic effusion（ n = 3）,acute salpingitis（ n = 2）,acute mesenteric lymphadenitis（ n = 2）,imcomplete intestinal obstruction（ n = 5）,abdominal tumor（ n = 4）. In this group,69 cases were successfully treated by laparoscopic surgery,7 cases were converted to open surgery,2 cases were treated with non-operative treatment. All patients were cured and discharged from hospital without postoperative complications. Conclusions： The patients with acute abdomen can be diagnosed and treated by single-port laparoscopy,this procedure has a wide range of surgical exploration,can reduce the negative laparotomy rate,achieve the overall minimal invasion and surgical precision,is worthy of clinical application and popularization.
出处
《腹腔镜外科杂志》
2015年第9期702-704,共3页
Journal of Laparoscopic Surgery
基金
陕西省科技厅科研项目资助(编号:201411-03-03-17)
陕西省卫生和计生委科研项目资助(编号:1014081)
关键词
急腹症
腹腔镜检查
单孔
诊断
治疗结果
Abdomen
acute
Laparoscopy
Single-port
Diagnosis
Treatment outcome
