论文部分内容阅读
目的 :探讨腹腔镜在非创伤性急腹症诊治中的作用及其安全性。方法 :1994年 1月至 1999年 5月 ,69例非创伤性急腹症行腹腔镜诊治。其中 ,胃十二指溃疡穿孔 2 0例 ,急性阑尾炎 17例 ,急性胆囊炎 6例 ,其它疾病 7例。结果 :69例腹腔镜诊断标准率 94 2 % ( 65/ 69) ,经腹腔镜检查纠正术前诊断 5 8% ( 4 / 69)。避免不必要剖腹检查 13% ( 9/ 69)。单纯通过腹腔镜治疗 63 8% ( 4 4/ 69) ,腹腔镜辅助手术 1 4 % ( 1/ 69) ,中转为传统手术 2 6 1% ( 18/ 69) ,并发症率 4 3% ( 3/ 69) ,死亡数为 0。结论 :非创伤性急腹症行腹腔镜诊治是恰当的、安全的。
Objective: To explore the role of laparoscopy in the diagnosis and treatment of non-traumatic acute abdomen and its safety. Methods: From January 1994 to May 1999, 69 cases of non-traumatic acute abdomen were diagnosed by laparoscopy. Among them, gastroduodenal ulcer perforation 20 cases, 17 cases of acute appendicitis, acute cholecystitis in 6 cases, 7 cases of other diseases. Results: The diagnostic accuracy rate of laparoscopy in 69 cases was 94.2% (65/69), and the preoperative diagnosis was 58% (4/69) by laparoscopy. Avoid unnecessary laparotomy check 13% (9/69). Laparoscopic surgery alone was 63.8% (44/69), laparoscopic assisted surgery was 14% (1/69), and was converted to conventional surgery (26/18) with a complication rate of 43% (3) / 69), the number of deaths is 0. Conclusion: Laparoscopic diagnosis and treatment of non-traumatic acute abdomen is appropriate and safe.