外伤性急腹症应用腹腔镜治疗21例体会  

The application of laparoscope in traumatic acute abdomen(21 cases report).

作　　者：罗华[1] 杨培[1] 匡铭[1] 胡朝辉[1] 邓澜[1] 黎前德[1] 

机构地区：[1]绵阳市中心医院肝胆外科,四川绵阳621000

出　　处：《四川医学》2008年第2期170-171,共2页Sichuan Medical Journal

摘　　要：目的探讨腹腔镜在外伤性急腹症中的应用价值。方法对21例外伤性急腹症的患者进行腹腔镜探查和治疗。其中肝破裂修补4例,脾破裂修补2例,脾切除3例,胃穿孔修补2例,肠穿孔修补2例,小肠部分切除1例,横结肠系膜血管结扎止血1例,横结肠修补1例,单纯探查引流2例,中转开腹手术3例。结果21例全部治愈,并发症5例（穿刺孔感染2例,腹腔积液3例）。手术时间为30-250min,住院时间7-28d。结论外伤性急腹症应用腹腔镜探查及手术具有明显优越性,但应严格掌握适应证,并根据病情及操作者的能力及时决定是否中转开腹。Objective To investigate the value of the laparoscopic technique in the treatment of traumatic acute abdomen, Methods 21 patients with traumatic acute abdomen accepted the laparoscopic exploration and operations.Among them,liver rupture repair were performed in 4 cases; spleen rupture repair in 2 cases; splenectomy in 3 cases; gastric perforation repair in 2 cases; intestinal perforation repair in 2 cases ; partial small intestine resection in 1 case; colonic mesenteric vesse1 ligation in 1 case; transverse colon repair in 1 case; exploration and drainage in 2 cases; 3 cases were converted to open operations. Results All patients were cured. Post-operative complications ;trocar incision infection occurred in 2 cases and 3 cases suffered abdominal fluid collection, The operative time was 30 - 250 min and the hospital stay was 7 to 28 days. Conclusion Laparoscpic technique is a safe and feasible method for the diagnosis and treatment of traumatic acute abdomen. But we should select indications strictly and decide promptly conversion according to the disease and ability.

关 键 词：外伤 急腹症 腹腔镜 

分 类 号：R656.1[医药卫生—急诊医学]