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目的总结腹腔镜诊治急腹症的经验和教训。方法回顾性分析2003年～2011年我院经腹腔镜诊治的278例急腹症病人的临床资料。结果腹腔镜手术治愈236例;术中改常规开腹手术治疗32例;10例腹腔镜探查后明确诊断,免做手术治疗;3例腹腔镜术后出现并发症;以上病例均痊愈出院。结论急诊腹腔镜探查术不仅可以对病因不明的急腹症作出诊断,还能提供可靠的手术治疗,腹腔镜诊治技术在急腹症治疗中的应用,具备创伤小、并发症少、安全性高、诊断率高等优点,值得临床推广。
Objective To summarize the experience and lessons of laparoscopic diagnosis and treatment of acute abdomen. Methods The clinical data of 278 acute abdomen patients diagnosed and treated by laparoscopy in our hospital from 2003 to 2011 were retrospectively analyzed. Results 236 cases were cured by laparoscopic surgery; 32 cases were treated by conventional laparotomy; 10 cases were diagnosed by laparoscopy; 3 cases were treated by laparoscopy; All cases were cured and discharged. Conclusions Emergency laparoscopy can not only diagnose acute abdomen disease of unknown etiology, but also provide reliable operation and laparoscopic diagnosis and treatment techniques in the treatment of acute abdomen, with less trauma, less complications and high safety , The advantages of higher diagnostic rate, it is worth clinical promotion.