摘要
目的探讨腹腔镜在可疑性阑尾炎诊治中的价值。方法对36例可疑性阑尾炎行腹腔镜诊断，对确诊者同时行腹腔镜手术治疗。结果36例中34例得到确诊（其中合并小肠憩室1例。左卵巢囊肿1例）。2例不能确诊，其中27例阑尾炎，2例盆腔炎，2例小肠憩室，1例回肠穿孔，1例肠系膜淋巴结炎，1例右卵巢囊肿破裂。确诊病例均行腔镜治疗，痊愈出院。随访3-12月，手术1例并发穿刺孔感染。结论腹腔镜在可疑性阑尾炎的诊治中是切实、有效、可行的方法。
Objective To explore value of peritoneoscope in the diagnosis and treatment of dubious appendicitis. Methods 36 cases of dubious appendicitis were performed with peritoneoscope for diagnosis, among which 34 diagnosed patients underwent peritoneoscope for treatment. Results Among 36 patients, 34 examples obtained the diagnosis;2 conldn t be diagnosed. Of all the diagnosed patients ,27 cases were appendicitis,2 pelvic inflammatory disease;2 diverticula of intestine;1 ileum perforation;l mesentery lymphnoditis and 1 ruptured fight ovarian cyst. All diagnosed patients were performed with peritoneoscope and healed. Patients were followed up for 3 to 12 months, only one was found with complicated puncture infection. Conclusion Diagnosing with peritoneoscope in dubious appendicitis is practical, effective, and feasible.
出处
《微创医学》
2009年第4期343-344,共2页
Journal of Minimally Invasive Medicine
关键词
腹腔镜
可疑性阑尾炎
诊断
治疗
Peritoneoscope
Dubious appendicitis
Diagnosis
Treatment
