目的 :探讨腹腔镜诊治外科急腹症的诊断价值及手术治疗经验。方法 :回顾性总结 5 9例腹腔镜诊治外科急腹症效果。结果 :本组病例中 ,腹腔镜下纠正了术前错误或不明确的临床诊断 2 5例 (占 42 4% ) ,经腹腔镜诊治避免了开腹手术 5 0例 (占 84 7% ) ,所有病例均恢复顺利 ,无术后并发症及死亡。结论 :腹腔镜诊治外科急腹症具有诊断率高、可信性强、创伤少、恢复快、并发症少等优点 ,因而具有良好的临床应用价值 Objective: To investigate the diagnostic value and surgical treatment experience of laparoscopic diagnosis and treatment of surgical acute abdomen. Methods: A retrospective review of 49 cases of laparoscopic diagnosis and treatment of acute abdomen effect. Results: Twenty-five cases (42.4%) of preoperative errors or ambiguities were corrected by laparoscopy. Fifty cases (84.7%) of laparotomy were avoided by laparoscopy, All patients recovered smoothly without postoperative complications and death. Conclusions: Laparoscopic diagnosis and treatment of surgical acute abdomen has the advantages of high diagnostic rate, strong credibility, less trauma, faster recovery and fewer complications, so it has a good clinical value