目的　研究腹腔镜在腹部外伤诊断和治疗中的作用。方法　对20例腹部外伤患者采用腹腔镜诊断和治疗。结果　11例外伤患者避免了剖腹手术,7例患者在镜下得到治疗,5例经检查无内脏损伤,避免了阴性探查。结论　腹腔镜应用于腹部外伤可明确诊断,避免阴性剖腹探查,有些损伤可在镜下治疗,镜下治疗无效时可帮助切口及术式选择 Objective To study the role of laparoscopy in the diagnosis and treatment of abdominal trauma. Methods Twenty patients with abdominal trauma were diagnosed and treated by laparoscopy. Results In the 11 cases of traumatic injury, laparotomy was avoided, 7 cases were treated under the microscope, 5 cases were tested without visceral injury, avoiding negative exploration. Conclusion Laparoscopic diagnosis of abdominal trauma can be a clear diagnosis, to avoid negative laparotomy, some lesions can be treated under the microscope, microscopic treatment can help incision and surgical options