摘要
目的探讨腹腔镜诊断与治疗腹部外伤的临床价值。方法回顾性分析对具有剖腹探查指征的13例腹部外伤使用腹腔镜诊断,并根据探查结果决定镜下治疗或中转开腹手术。结果13例腹部外伤于镜下作出正确诊断,8例于镜下作治疗,1例可免治疗性处理;4例中转开腹手术。术后无并发症,全组治愈出院。结论腹腔镜应用于腹入部外伤具有创伤性小、安全可靠、诊断率高并有效降低阴性剖腹探查率等优点,适用于大部分腹部外伤的病例。
Objective To analyze the clinical value of laparoscopic diagnosis and treatment for abdominal trauma. Methods Form October 2005 to December 2007, we had used laparoscopy to diagnose 13 cases of abdominal trauma, which had the indications of laparotomy. According to the results of laparoscopic diagnosis we determined laparoscopic or open operations. Results 13 patients with abdominal injuries were diagnosed by laparoscopy, of the 8 cases were treatd by laparoscopy, 1 case with no therapeutic operations ; 4 cases were returned to open operations. No surgical complications were occurred. Conclusion Laparoscopic diagnosis and treatment for abdominal trauma have many advantages such as decreased injury, safe, higher rate of diagnosis and reduced not - therapeutic laparotomy. That may be useful in a lot of patients with abdominal trauma.
出处
《现代医院》
2008年第7期55-56,共2页
Modern Hospitals
关键词
腹部外伤
腹腔镜
诊断
治疗
Abdominal Trauma, Laparoscopy, Diagnosis, Treatment
