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目的探讨腹腔镜检查在腹部疑难疾病诊断中的作用。方法作者对临床中通过其他检查手段不能明确诊断的19例腹部疑难疾病患者,进行腹腔镜检查,明确诊断,并即时进行进一步的开腹或者镜下治疗。结果除1例因发现为癌症晚期放弃手术治疗、2例腹膜后血肿保守治疗成功外,其余均即时成功进行了手术治疗,效果好,减少了误诊误治的几率。结论在其他检查不能明确诊断时,腹腔镜检查选择性的应用于腹部疑难疾病的诊断中,是切实可行的有效手段。
Objective To investigate the role of laparoscopy in the diagnosis of difficult abdominal diseases. Methods The authors performed a laparoscopic examination on 19 patients with difficult to diagnose abdominal diseases who were clinically diagnosed by other means of examination to confirm the diagnosis and to conduct further laparotomy or microsurgical treatment immediately. Results In addition to one case of surgically treated patients who were surrendered for advanced cancer and two cases of conservative treatment of retroperitoneal hematoma succeeded, the remaining patients were treated successfully with immediate success and the effect was good, reducing the chance of misdiagnosis and mistreatment. Conclusion In other tests can not be a clear diagnosis, the selective application of laparoscopy in the diagnosis of difficult abdominal disease is feasible and effective means.