采用腹腔镜处理急腹症的体会  

The application experience of laparoscopy in acute abdominal emergency

作　　者：朱振新[1] 胡涛[1] 王锐[1] 肖元初[1] 杨志奇[1] 

机构地区：[1]荆州市中心医院普外科,湖北434020

出　　处：《腹部外科》2009年第2期96-97,共2页Journal of Abdominal Surgery

摘　　要：目的总结腹腔镜在急腹症处理中的休会。方法回顾性分析我科2003年7月至2008年7月应用腹腔镜处理112例急腹症的临床资料。结果108例在腹腔镜下获得明确诊断;92例在腹腔镜下完成操作,20例中转开腹手术;纠正术前诊断2例,发现合并疾病3例;术后并发症2例。结论腹腔镜技术处理腹部外科急腹症创伤小,对诊断不明和腹部外伤的急诊诊断率高,降低阴性剖腹探查率,术中探查全面、安全有效,值得进一步推广。Objective To investigate the application of laparoscopy in abdominal surgery emergency. Methods The clinical data of 112 acute abdominal emergencies in latest 5 years were analyzed retrospectively. Results Diagnosis was confirmed in 108 patients, laparoscopic operations were performed in 92 patients, 20 patients were converted to laparotomy, preoperative diagnosis was corrected in 2 patients, combined diseases were discovered in 3 patients, and postoperative complications occurred in 2 patients. Conclusion The laparoscopic technique is micro-invasive in management of abdominal emergencies. It gets highly confirmed rate for unconfirmed cases and abdominal injury and avoids negative laparotomy rate. It also can get comprehensive exploration during operation.

关 键 词：腹腔镜 急腹症 腹部损伤 

分 类 号：R656[医药卫生—外科学] R656.1[医药卫生—临床医学]