腹腔镜在腹部外伤中的应用体会

目的:分析腹腔镜诊断与治疗腹部外伤的临床价值。方法:2002年7月~2006年7月,我院对具有剖腹探查指征的68例腹部外伤患者使用腹腔镜诊断,并根据镜检结果决定镜下治疗或中转开腹手术。结果:51例腹部外伤于镜下作出正确诊断,19例于镜下手术,18例可免治疗性处理;31例中转开腹手术,其中9例为腹腔镜辅助开腹或手助腹腔镜手术,术后并发症5例,全组均治愈出院。结论:腹腔镜诊治腹部外伤具有创伤小、安全可靠、诊断率高,并有效降低阴性剖腹探查率等优点,适用于大部分腹部外伤的病例。

The application of laparoscopy in abdominal trauma

Objective:To analyze the clinical value of laparoscopic diagnosis and treatment for abdominal trauma.Methods:From July 2002 to July 2006,68 cases of abdomnal trauma were diagnosed by laparoscope which had the indications of laparotomy.According to laparoscopic diagnosis we selected laparoscopic or open operations.Results:51 patients with abdominal injuries were correctly diagnosed by laparoscopy.19cases were treated by laparoscopy and 18cases with no therapeutic operations.31 cases were converted to open operations,of which 9 cases were operated by laparoscopic assisted laparotomy or hand-assisted laparoscopy.The complications were noted in 5 cases.All cases had successful recovery after surgery.Conclusions:Laparoscopic diagnosis and treatment for abdominal trauma have many advantages such as decreased injury,safety,higher rate of diagnosis and reducing not-therapeutic laparotomy which may be useful in most of patients with abdominal trauma.