论文部分内容阅读
目的探讨腹腔镜技术在创伤性急腹症诊断与治疗中的应用。方法对我院自2002年6月至2006年6月期间应用腹腔镜技术进行诊治的45例创伤性急腹症病例的临床资料进行回顾性分析。结果45例均在腹腔镜下得到明确诊断,镜下明确诊断率为100%;34例在腹腔镜下直接或辅助下完成治疗,5例无需治疗,6例中转开腹,开腹率为13.34%;术后未发生与腹腔镜手术相关的并发症和死亡病例。结论腹腔镜技术诊治创伤性急腹症病人是安全、可行的,并具有确诊率高、创伤性小等优点,可避免不必要的开腹手术。
Objective To investigate the application of laparoscopy in the diagnosis and treatment of traumatic acute abdomen. Methods The clinical data of 45 patients with traumatic acute abdomen diagnosed by laparoscopy from June 2002 to June 2006 in our hospital were analyzed retrospectively. Results 45 cases were diagnosed laparoscopically, with a clear diagnosis rate of 100%. 34 cases underwent direct laparoscopic or assisted treatment, 5 cases without treatment, 6 cases were converted to laparotomy, the rate of laparotomy was 13.34 %; Postoperative complications and deaths associated with laparoscopic surgery did not occur. Conclusion Laparoscopic diagnosis and treatment of patients with traumatic acute abdomen is safe and feasible, and has the advantages of high diagnosis rate and less invasiveness, which can avoid unnecessary laparotomy.