腹腔镜探查术在诊断不明之非创伤性急腹症中的应用

目的探讨腹腔镜探查术在诊断不明的非创伤性急腹症中的应用价值。方法 71例患者均行腹腔镜探查术治疗,气管插管全身麻醉成功后建立气腹,将脐作为观察孔并置入30度镜探查,依据探查结果明确病变位置及性质后,选择相应手术方式治疗。腹腔镜下不能完成手术者,及时行中转开腹手术并根据探查结果决定手术切口。结果 71例均得到明确诊断,其中经腹腔镜手术治疗者为67例,中转行剖腹手术4例,因原发性腹膜炎经腹腔冲洗结束探查者2例,术后均无并发症。结论在诊断不明的非创伤性急腹症的诊治中,腹腔镜腹腔探查术具有及时有效、确诊率高、安全微创的特点,值得推广应用。

Application of laparoscopy in diagnosis and treatment of non-traumatic acute abdomen of unknown etiology

Objective To evaluate the clinical value of laparoscopy in diagnosis and treatment of non-traumatic acute abdomen of unknown etiology. Methods The clinical data of 71 cases with non-traumatic acute abdomen of unknown etiology undergoing laparoscopy were analyzed retrospectively. Results All cases were definitely diagnosed. 67 cases were treated with laparoscopy,4 cases were converted to laparotomy. No complications occurred. Conclusions Laparoscopy is a timely,effective,safe and micro-invasive method in diagnosis and treatment of non-traumatic acute abdomen of unknown etiology,worthy of clinical promotion.