腹腔镜在普外科急腹症诊治中的临床应用评估

目的分析研究腹腔镜在普外科急腹症诊治中的作用和应用效果。方法选取108例急腹症患者,将54例进行腹腔镜探查和治疗的患者设为观察组,其余54例行剖腹探查和治疗的患者为对照组,比较两组探查结果和临床疗效。结果术后观察组与对照组的总有效率分别为96.30%、87.04%,两组比较差异有统计学意义（P〈0.05）;观察组所有患者均在腹腔镜下完成手术,无中转开腹,与对照组比较,观察组患者手术时间、术中出血量、体温恢复时间、肛门排便时间、腹胀腹痛消失时间明显减少,两组比较差异有统计学意义（P〈0.05）。结论腹腔镜诊断和治疗原因不明急腹症具有诊断率高、创伤小、恢复快、并发症少等优点,具有很好的临床应用价值,是临床较为有效的治疗急腹症的手段。

Clincal application evaluation of laparoscopie in acute abdomen

Objective To explore the diagnosis and treatment of laparoscopic minimally invasive therapy in the treatment of acute abdomen in department of general surgery and clinical application. Methods 108 cases of patients with acute abdomen, laparoscopy and treatment 54 cases of patients in the observation group, the remaining 54 underwent laparotomy and treatment of patients as the control group. Results The two groups total efficiency difference was statistically significant （ P 0.05）. Conclusion Laparoscopic diagnosis and treatment of reasons unknown acute abdomen diagnosis rate, fewer complications, etc., has good clinical value.