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腹腔镜诊断和治疗腹部闭合性损伤120例报告
引用本文:庞典付,何德林,龚治林.腹腔镜诊断和治疗腹部闭合性损伤120例报告[J].腹腔镜外科杂志,2006,11(4):286-287.
作者姓名:庞典付  何德林  龚治林
作者单位:华中科技大学同济医学院附属荆州医院,湖北,荆州,434020
摘    要:目的:探讨应用腹腔镜诊断和治疗腹部闭合性损伤的临床效果。方法:120例腹部闭合性损伤患者在腹腔镜下诊断和治疗。结果:120例均于腹腔镜下明确诊断并治疗。其中48例出血停止,56例腹腔镜下止血成功,16例腹腔镜下行脾脏切除术。90例避免了剖腹手术,占75%。结论:腹腔镜可用于腹部闭合性损伤的诊断和治疗,且较腹腔穿刺、腹腔灌洗及剖腹探查简便易行。

关 键 词:腹部损伤  腹腔镜检查  病例报告
文章编号:1009-6612(2006)04-0286-02
收稿时间:2006-03-23
修稿时间:2006年3月23日

Diagnosis and treatment of blunt abdominal trauma by laparoscope in 120 cases
PANG Dian-fu,HE De-lin,GONG Zhi-lin.Diagnosis and treatment of blunt abdominal trauma by laparoscope in 120 cases[J].Journal of Laparoscopic Surgery,2006,11(4):286-287.
Authors:PANG Dian-fu  HE De-lin  GONG Zhi-lin
Abstract:Objective:To explore the effect of laparoscopy in diagnosis and treatment of the blunt abdominal trauma.Methods:After general anesthesia,120 patients were diagnosed and treated by laparoscopy.Results:Intraperitoneal bleeding had stopped in 48 cases before treatment,and was stopped in 56 cases by laparoscopy.Splenectomy was performed under the laparoscopy in 16 cases,and celiotomy was avoided in 90 patients.Conclusions:Laparoscopy is more effective in diagnosis and treatment of blunt abdominal trauma than abdominocentesis,peritoneal irrigation or laparotomy.
Keywords:Abdominal injuries  Laparoscopy  Case report
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