腹腔镜用于闭合性肝损伤诊疗34例  

Application of laparoscope in diagnosis and treatment of indirect liver injury

作　　者：郑兰东[1] 李灵霞[1] 丁颖[2] 展鹏远[1] 皇甫深强[1] 

机构地区：[1]河南大学第一医院普外科,河南开封475001 [2]河南大学校医院,河南开封475001

出　　处：《第四军医大学学报》2004年第19期1765-1767,共3页Journal of the Fourth Military Medical University

摘　　要：目的 :探讨腹腔镜在诊疗闭合性肝损伤中的可行性及应用价值 .方法 :回顾性分析 34例经腹腔镜诊断与手术治疗的闭合性肝损伤的临床效果和经验 .其中肝破裂Ⅰ～Ⅱ级31例 ,Ⅲ级 3例 .结果 :全组诊断符合率 10 0 % .6例 (18% )行单纯腹腔镜探查术 ;14例 (4 1% )行腹腔镜电灼止血术 ;7例(2 1% )行腹腔镜肝破裂修补术 ;2例 (6 % )行腹腔镜下肝切除术 ;5例 (12 % )中转开腹手术 ;治愈率 10 0 % .结论 :腹腔镜对闭合性肝损伤的诊断符合率高 ,对Ⅰ～Ⅱ级肝损伤的治疗效果好 ,可减少手术治疗的盲目性 .AIM: To study the feasibility and value of laparoscope in diagnosing and treating indirect liver injury. METHODS: The clinical effects and experiences of diagnosing and treating 34 cases (31 injuryⅠandⅡ, and 3 injury Ⅲ) of indirect liver injury with laparoscope or operation were reviewed. RESULTS: The diagnostic accordance rate for the 34 cases reached 100%. Among the 34 cases, 6 underwent laparoscopy only (18%), 14 underwent electrohemostasis under laparoscope (41%), 7 had laparoscopic repair of liver rupture (21%), 2 had laparoscopic hepatectomy (6%), and 5 changed to laparotomy due to unsatisfactory electrohemostasis. The cure rate was 100%. CONCLUSION: The diagnostic accordance rate is high for the indirect liver injury with laparoscope and the therapeutic effect is satisfactory for the Ⅰ-Ⅱ grade injury. The application of laparoscope can reduce the blindness of abdominal operations.

关 键 词：腹腔镜 肝损伤 诊断 治疗 

分 类 号：R657.32[医药卫生—外科学]