摘要
目的:探讨腹腔镜用于普通外科急腹症和腹部外伤的价值。方法:回顾分析2005年4月至2008年8月作者用腹腔镜诊治急腹症48例患者的临床资料。结果:48例患者中,胃十二指肠溃疡穿孔13例,急性阑尾炎9例,急性胆囊炎17例,腹部闭合性损伤4例,腹部开放性损伤1例,急性盆腔炎2例,肠梗阻2例。48例患者均在腹腔镜下确诊,43例在腹腔镜下完成手术,5例中转开腹。患者均获痊愈,无术后并发症及围手术期死亡。结论:腹腔镜技术集诊断与治疗于一体,是治疗急腹症和腹部外伤的有效方法。
Objective： To evaluate the application of laparoscopy in acute abdomen and traumatic abdominal emergencies. Methods ： A retrospective analysis was done with 48 cases of acute abdomen and traumatic abdominal emergencies in the first affiliated hospital of Yangzhou university from Apr. 2005 to Aug. 2008. Results ： Among the 48 cases, there were 13 cases of perforated peptic ulcer,9 cases of acute appendicitis, 17 cases of acute eholecystitis,4 cases of closed abdominal injury, 1 case of open abdominal injury ,2 cases of acute pelvic inflammation and 2 cases of intestinal obstruction. All the patients got the final diagnosis during laparoscopy. 43 cases were treated with laparoseopic procedure, while 5 cases were converted to open operation. There were no postoperative complications or death, and all the patients recovered well. Conclusions：The application of laparoseopy in acute abdomen and traumatic abdominal emergencies is not only a diagnostic approach, but also an effective surgical treatment.
出处
《腹腔镜外科杂志》
2009年第9期684-686,共3页
Journal of Laparoscopic Surgery
关键词
急腹症
腹部损伤
腹腔镜术
Abdomen, acute
Abdominal injuries
Laparoscopy
