摘要
目的探讨腹腔镜诊断和治疗急性腹膜炎的有效性及优越性. 方法回顾性分析2001年4月～2004年10月133例急性腹膜炎采用腹腔镜进行诊断及治疗的临床资料. 结果胃十二指肠穿孔60例,急性胆囊炎15例,胆囊穿孔8例,乙状结肠穿孔2例,急性阑尾炎并穿孔35例,空肠憩室穿孔3例,小网膜孔疝1例,急性胰腺炎4例,原发性腹膜炎5例,诊断准确率达100%,并在腹腔镜下行相应的治疗.无任何并发症出现. 结论腹腔镜在急性腹膜炎中的诊断率高,可避免较长时间的术前B超、CT等检查,直接对疾病进行微创治疗.
Objective To evaluate the efficacy and priority of laparoscopy in the diagnosis and treatment of acute peritonitis.Methods Clinical data of 133 cases of acute peritonitis diagnosed and treated under laparoscope between April 2001 and October 2004 were retrospectively reviewed. Results Of the 133 cases, there were 60 cases of gastroduodenal perforation, 15 cases of acute cholecystitis, 8 cases of gallbladder perforation, 2 cases of sigmoid colon perforation, 35 cases of acute perforated appendicitis, 3 cases of jejunal diverticulum perforation, 1 case of foramen of Winslow hernia, 4 cases of acute pancreatitis, and 5 cases of primary peritonitis. The diagnostic accuracy was 100%. All the patients were treated laparoscopically without complications. Conclusions Laparoscopy gives a high diagnostic accuracy for acute peritonitis. The rationale for the use of it lies in the possibility of avoiding time - consuming preoperative B - uhrasonography or CT scans and performing minimally invasive surgical interventions directly.
出处
《中国微创外科杂志》
CSCD
2005年第8期651-652,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
腹腔镜
急腹症
Laparoscopy
Acute abdominal emergency
