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腹腔镜在外科急腹症中的应用价值 被引量:24

Application of laparoscope in the surgical acute abdomen
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摘要 目的探讨腹腔镜在外科急腹症中的应用价值和操作特点。方法对我科2000年9月~2003年9月间应用腹腔镜诊治的134例急腹症做回顾性分析。结果本组134例外科急腹症中,130例运用腹腔镜治疗成功(97%),4例中转开腹手术(3%)。本组无手术死亡,无术后腹腔残余脓肿及胃肠瘘,无粘连性肠梗阻及伤口感染,平均手术时间45min,平均住院时间为5d。结论腹腔镜在外科急腹症中有应用价值,不但具有诊断及治疗的双重作用,且具有损伤小,痛苦轻,术后恢复快和并发症少等优点。 Objective To investigate the applied value and manipulated feature of laparoscope in surgical acute abdomen.Methods From september 2000 to september 2003,134 cases with acute abdomen applied laparoscope for diagnosis and treatment were analyzed retrospectively.Results Among 134 cases with surgical acute abdomen,130 cases were treated succefully(3%).No operative death,no postoperative abdominal residual abscess and gastrointestinal fistula(after operation),no adhesive ileus and wound infection were found in this group.Average operative time was 45 minutes and average hospitalization time was 5 days.Conclusion The laparoscope has an applied value in surgical acute abdomen.It can not only make the diagnosis and treatment but also possesses minimally invasive,less painful,postoperative quick recovery and less complications.
出处 《岭南现代临床外科》 2004年第3期240-240,F003,共2页 Lingnan Modern Clinics in Surgery
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