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腹腔镜技术诊治腹部损伤的应用体会(附102例报告)
引用本文:韦建宝,梁万强,谢桂生,李霖,韦皓棠,董保国,梁驰. 腹腔镜技术诊治腹部损伤的应用体会(附102例报告)[J]. 腹腔镜外科杂志, 2011, 16(6): 468-470. DOI: 10.3969/j.issn.1009-6612.2011.06.027
作者姓名:韦建宝  梁万强  谢桂生  李霖  韦皓棠  董保国  梁驰
作者单位:广西医科大学第三附属医院,广西,南宁,530031
摘    要:目的:探讨腹腔镜技术诊治腹部损伤的价值及疗效.方法:回顾分析为102例腹部损伤患者施行腹腔镜探查的临床资料.结果:102例患者均经腹腔镜探查明确诊断,无漏诊、误诊.18例中转开腹,中转率17.65%,均为闭合性腹部损伤者(22.50%,18/80),开放性损伤者无一例中转开腹手术.29例(28.43%)为非治疗性.3例...

关 键 词:腹部损伤  腹腔镜检查  诊断  治疗结果

The application of laparoscopic technique in diagnosis and treatment of abdominal injury:with a report of 102 cases
Affiliation:WEI Jian-bao,LIANG Wan-qiang,XIE Gui-sheng,et al.Dept.of General Surgery,the Third Affiliated Hospital of Guangxi Medical University,Nanning 530031,China
Abstract:Objective:To explore the clinical practice method and effect of laparoscopic technique in abdominal injury.Methods:The clinical data of 102 patints with abdominal injury underwent laparoscopic exploration were retrospectively analysed.Results:All the wounded were diagnosed correctly,no missed and error diagnosis.The rate of conversion to open surgery was 17.65%(18/102),who were all closed abdominal injury(22.50%,18/80).The laparoscopic exploration of 29 cases(28.43%) was not therapeutic but diagnostic.3 of 18 cases who were converted to open surgery suffered infection of incision,no other complications.All the wounded were cured without dead cases.The average hospital stay was 7.4d(4-15d).Conclusions:The clinical application of laparoscopic technique in abdominal injury is safe,effective and minimally invasive.There are obvious superiorities compared to the open surgery.It is worth applying commonly.
Keywords:Abdominal injuries  Laparoscopy  Diagnosis  Treatment outcome
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