腹腔镜在急腹症和腹部外伤诊治中的应用体会

目的:探讨应用腹腔镜诊断和治疗外科急腹症及腹部外伤的价值。方法:回顾分析腹腔镜在85例外科急腹症和腹部外伤应用中的临床资料。结果:85例中有29例在不明病因的情况下由腹腔镜确诊,确诊率为100%,其中26例在腹腔镜下治疗,3例中转开腹;56例在已明病因下用腹腔镜治疗,其中2例胃十二指肠溃疡穿孔术后出现腹腔脓肿。56例中1例因胃穿孔延误了手术时机而死于感染性休克,其余均痊愈出院,治疗成功率为98.2%。结论:腹腔镜技术在外科急腹症诊断及治疗中具有独特的优势,既可明确诊断,又能同时进行治疗,且有良好的临床应用价值。

Laparoscopy in diagnosis and treatment of acute abdomen and abdominal trauma

Objective： To evaluate the effect of laparoscopie management on the diagnosis and treatment of patients with acute abdomen and abdominal trauma. Methods： The clinical data of 85 cases of acute abdomen and abdominal trauma were studied respectively. Results：Twenty-nine cases with uncertain etiology were successfully diagnosed by laparoscopy, with a diagnosis rate of 100% ;26 eases were operated upon under laparoscopy and 3 cases received open surgery. Fity-five of the 56 cases （98.2%） with a certain pre-operative diagnosis were successfully cured by laparoscopy ;2 cases with gastric and duodenal perforation were complicated with abdominal abscess after laparoscopic repair. Of the 56 cases, one died of septic shock for a delayed diagnosisrof gastric perforation, and the others were discharged. The response rate was 98.2%. Conclusions ： There exists a particular advantage in the diagnosis and treatment of acute abdomen by laparoscopy. It can be well applied in clinic.