目的评价腹腔镜技术在基层医院急腹症的诊断和治疗中的可行性和有效性。方法回顾分析2005-03～2012-11的1035例腹腔镜急腹症手术的临床资料。结果 1034例急腹症患者均于腹腔镜下作出正确诊断,诊断准确率为99.9%。其中镜下完成手术1028例,中转开腹手术6例,阴性探查1例。结论腹腔镜技术应用于急腹症诊治,值得在临床推广。 Objective To evaluate the feasibility and effectiveness of laparoscopy in the diagnosis and treatment of acute abdomen in primary hospitals. Methods The clinical data of 1035 cases of laparoscopic acute abdomen surgery from 2005 to 2012-11 were retrospectively analyzed. Results 1034 patients with acute abdomen were correctly diagnosed by laparoscopy, the diagnostic accuracy was 99.9%. Among them, 1028 cases underwent microsurgery, 6 cases underwent open laparotomy, and 1 case underwent negative exploration. Conclusion Laparoscopic diagnosis and treatment of acute abdomen, it is worth in the clinical promotion.