腹腔镜在闭合性腹外伤中的临床应用

目的：探讨腹腔镜在82例闭合性腹外伤中的诊断、治疗及效果。方法：回顾分析我院自2002年6月至2010年4月手术的82例闭合性腹外伤患者的临床资料。结果：82例闭合性腹外伤经腹腔镜顺利完成手术探查及治疗,其中中转开腹手术31例。病例中脾破裂23例,肝破裂17例,小肠破裂穿孔14例,腹膜后血肿5例,肠系膜破裂5例,结肠破裂穿孔7例,肠管挫伤6例,膀胱破裂2例,多脏器损伤3例。1例发生胆瘘,1例发生术后出血,其余病例未发生术后并发症。结论：腹腔镜技术在闭合性腹外伤的病人诊断及治疗过程中是一种极有临床应用价值的有效方法。

The Application of Laparoscopy in Closed Abdominal Trauma

Objective： To explore the effect of the laparoscopy in the diagnosis and treatment for closed abdominal trauma.Method：Retrospectivly analyzed,from June 2002 to April 2010,82 cases data of closed abdominal trauma patients.Result：All cases successfully completed by laparoscopy for the detection and treatment.Of which 31 cases were converted to open surgery.Among all,there were respectively 23 cases with spleenic rupture,17 cases with hepatic rupture,14 cases with enteric perforatio,5 cases with retroperitoneum hematoma,5 cases with mesentery injury,7 cases with the colon rupture,6 cases with intestinal contusion,2 cases with bladder rupture,3 patients with multiple organ injury.1 case of biliary fistula,1 case of postoperative bleeding,No postoperative complications in the remaining cases.Conclusion：The method with laparoscopy is valuable and important clinically in diagnosis and treatment for closed abdominal trauma patients.