摘要
目的探讨在腹部闭合性损伤中应用腹腔镜进行诊治的经验。方法分析52例腹部闭合性损伤病人应用腹腔镜进行诊断与手术治疗的方法和效果。结果52例均明确诊断，其中21例同时进行腹腔镜下治疗；7例无需手术处理，避免了不必要的开腹手术；24例诊断明确后中转开腹取相应手术部位小切口。腹腔镜手术者无并发症发生，全组无死亡病例。结论应用腹腔镜诊治腹部外伤具有创伤小、安全可靠、诊断率高等优点，并有效地降低了阴性剖腹探查率，适用于大部分腹部闭合性损伤的病例。对于术前确诊的伴有严重失血性休克的肝、脾、肾重度损伤的病例，不主张采用腹腔镜探查。
Objective To investigate the advantages of laparoscopy in diagnosing and treating the abdominal closed injury. Methods The diagnosis and operation effect of 52 cases of abdominal closed injury by using laparoscopy were analyzed. Results Fifty-two cases of abdominal closed injury were definitely diagnosed. Twenty-one cases received laparoscopic treatments, 7 cases received conservative treatments, and 24 cases with definite diagnoses were converted to abdominal surgery. There were no complications and deaths. Conclusion The laparoscopy for diagnosis and treatment of the abdominal closed injury have the advantages of small trauma, safety and high diagnosis rate and can reduce the negative laparotorny rate, which can be applied in most cases of abdominal trauma. For the patients who have been preoperatively diagnosed as having hemorrhagic shock with severe injury in the liver, spleen and kidney, the laparoscopic approach is not advocated.
出处
《腹部外科》
2011年第5期287-288,共2页
Journal of Abdominal Surgery
关键词
腹部损伤
腹腔镜检查
诊断
治疗
Abdominal injuries
Laparoscopy
Diagnosis
Treatment
