摘要
目的:探讨腹腔镜诊治女性不明原因下腹部急腹症的价值。方法:回顾分析2004年12月至2008年12月我院应用腹腔镜诊治56例女性不明原因下腹部急腹症患者的临床资料。结果:56例经腹腔镜探查均明确诊断,45例(80.4%)在腹腔镜下同时手术治疗,6例(10.7%)仅冲洗引流,5例(8.9%)中转开腹。术前与术后诊断不符13例(23.2%),无一例发生并发症及死亡。手术时间平均35min,平均住院4.5d。结论:腹腔镜用于鉴别诊断女性下腹部急腹症具有极高的临床价值,且兼有治疗作用,患者创伤小,确诊率高,并发症少,复杂疾病可在腹腔镜下选择切口行开腹手术。
Objective：To investigate the value of laparoscopy in diagnosis and treatment of unknown origin acute abdomen in hypogastrium of women. Methods：Between Dec. 2004 and Dec. 2008,56 women underwent laparoscopy for diagnosis and treatment of unknown origin acute abdomen in hypogastrium, their clinical data were retrospectively analyzed. Results：All patients obtained correct diagnosis under the laparoseope. Out of the 56 patients,45 （80.4%） were treated by laparoscopy, 6 （ 10.7% ） received irrigation and drainage. 5 cases（8.9% ） required conversion to open surgery. Preoperative diagnosis of 13 case（23.2% ） did not conform to their postoperative diagnosis. There were no complications or death. The average operative time was 35rain, and mean hospital stay was 4.5d. Conclusions ：The laparoseopy is of high clinical value for the differential diagnosis and treatment of acute abdomen in hypogastrium of women with a high sensitivity of diagnosis, minimal invasion and less complication. In difficult case, the laparoscopy can indicate the best incision for conversion to laparotomy.
出处
《腹腔镜外科杂志》
2010年第1期59-61,共3页
Journal of Laparoscopic Surgery
