肠系膜血管缺血性疾病的腹腔镜诊治  

Application of laparoscopy in diagnosis and treatment of mesenteric ischemia disease

作　　者：李强[1] 王志青[1] 

机构地区：[1]济南市第四人民医院,山东济南250031

出　　处：《腹腔镜外科杂志》2009年第10期757-759,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜对肠系膜血管缺血性疾病的诊治价值。方法:应用腹腔镜为12例患者做出明确诊断并同时治疗,根据术中情况采取全腹腔镜、手助腹腔镜、开腹肠切除吻合术,评估患者术后情况,分析治疗结果。结果:12例患者术后2例因并发症死亡,10例恢复良好,随访至今无复发。结论:腹腔镜具有患者创伤小、直视性强、缺血区域明确等优点,能提高早期诊断率,治疗效果确切,术后康复快。Objective ： To evaluate the application of laparoscopy in the diagnosis and treatment of mesenterie ischemia disease. Methods：Twelve cases of mesenteric ischemia disease were diagnosed and treated by laparoscopy. Laparoscopy,hand assisted laparoscopy, and open intestinal incision and anastomosis were applied. The postoperative state was evaluated and therapeutic results were analyzed. Results：Two cases died for postoperative complications and other 10 cases were followed up with no complications or recurrence. Conclusions：Laparoscopy can improve the early diagnostic rate,get exact therapeutic efficiency and quick recovery with advantage of less trauma,better approach to observe,more definite judgment of the ischemic area.

关 键 词：肠系膜血管闭塞 腹腔镜检查 诊断 治疗结果 

分 类 号：R657.2[医药卫生—外科学]