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目的探讨腹腔镜技术在外科急腹症诊断及治疗中的应用价值。方法回顾性分析应用腹腔镜进行诊断及治疗131例急腹症患者的临床资料。结果腹腔镜明确诊断131例(100%);成功实施腹腔镜手术124例(94.66%),中转开腹7例(5.34%);手术时间30～105min,平均45min;术中出血量20～200mL,平均55mL;患者均痊愈出院,术后均未发生肠粘连、腹腔脓肿、肠间脓肿、切口感染、切口裂开等并发症;术后随访6～18个月,均未复发。结论腹腔镜技术具有微创、安全、恢复快等优点,对外科急腹症的诊断及治疗具有重要价值。
Objective To investigate the value of laparoscopy in the diagnosis and treatment of surgical acute abdomen. Methods The clinical data of 131 patients with acute abdomen who were diagnosed and treated by laparoscopy were retrospectively analyzed. Results Laparoscopic diagnosis was made in 131 cases (100%). Laparoscopic surgery was successful in 124 cases (94.66%), and laparoscopic surgery in 7 cases (5.34%). The operative time was 30 to 105 minutes (mean 45 minutes) , An average of 55mL; patients were cured and discharged, no postoperative intestinal adhesion, abdominal abscess, intestinal abscess, incision infection, incision rupture and other complications; were followed up for 6 to 18 months, no recurrence. Conclusion Laparoscopic surgery has the advantages of minimally invasive, safe and rapid recovery, which is of great value in the diagnosis and treatment of surgical acute abdomen.