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我院1996年7月至2000年6月共施行腹腔镜对原因不明的急腹症诊治32例,能及时准确地作出诊断,并在腹腔镜下进行手术治疗,降低了剖腹探查率。1 临床资料及方法1.1 临床资料 32例原因不明的急腹症病人,男14例,女18例,年龄16～82岁,平均年龄46岁。患者术前症状、体征及辅助检查(包括B超或CT等),均不能明确急腹症的原因,但均有剖腹探查指征。经腹腔镜探查后,术后诊断:胃十二指肠溃疡穿孔8例,急性胆囊炎穿孔7例,急性胰腺炎2例,溃疡性结肠炎穿孔1例,急性阑尾炎穿孔4例,输卵管妊娠破裂2例,卵巢囊肿破裂1例,急性盆腔炎3例,急性淋球菌腹膜炎1例,结核
Our hospital from July 1996 to June 2000 were performed laparoscopic diagnosis and treatment of unexplained acute abdomen 32 cases, timely and accurate diagnosis, and laparoscopic surgery, reducing the rate of laparotomy. 1 Clinical data and methods 1.1 Clinical data 32 cases of unexplained acute abdomen disease patients, 14 males and 18 females, aged 16 to 82 years, mean age 46 years. Patients with preoperative symptoms, signs and laboratory tests (including B ultrasound or CT, etc.), are not clear the cause of acute abdomen, but have laparotomy indications. After laparoscopic exploration, postoperative diagnosis: 8 cases of perforation of gastroduodenal ulcer, 7 cases of acute cholecystitis perforation, 2 cases of acute pancreatitis, 1 case of ulcerative colitis perforation, 4 cases of acute appendicitis perforation, tubal pregnancy rupture 2 cases, 1 case of ovarian cyst rupture, 3 cases of acute pelvic inflammatory disease, 1 case of acute gonococcal peritonitis, tuberculosis