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目的探讨腹腔镜在诊断和治疗外科急腹症及腹部外伤中的临床价值。方法回顾分析腹腔镜在80例外科急腹症和腹部外伤应用中的临床资料。结果 80例患者中38例在不明确病因的情况下由腹腔镜得到确诊,确认率为100%;42例在已明确病因下用腹腔镜治疗,内4例胃十二指肠溃疡穿孔术后出现腹腔脓肿。42例中有4例死亡,其余均痊愈出院,治疗成功率为90.48%。结论腹腔镜技术在外科急腹症诊断及治疗中具有独特的优势,既可明确诊断,又能同时进行治疗,且有良好的临床应用价值
Objective To investigate the clinical value of laparoscopy in the diagnosis and treatment of surgical acute abdomen and abdominal trauma. Methods The clinical data of laparoscopy in 80 cases of acute abdomen and abdominal trauma were retrospectively analyzed. Results Of the 80 patients, 38 cases were diagnosed by laparoscopy without definite etiology, the rate of confirmation was 100%; 42 cases were treated with laparoscopy under the definite etiology, and 4 cases with gastroduodenal ulcer perforation Abdominal abscess occurs. Of the 42 patients, 4 died and the rest were cured. The success rate of treatment was 90.48%. Conclusions Laparoscopy has unique advantages in the diagnosis and treatment of surgical acute abdomen, which can not only confirm the diagnosis but also treat it at the same time, and have good clinical value