腹腔镜探查术与剖腹探查术在外科急腹症的临床对比研究  

The Clinical Contrastive Analysis between LC Exploration and Exploratory Laparotomy in Patients with Acute Abdominal Disease

作　　者：段立纪[1] 杨云江[1] 徐财文 

机构地区：[1]广东省东莞市长安医院普外科,广东东莞523840

出　　处：《河北医学》2012年第4期429-432,共4页Hebei Medicine

摘　　要：目的:探讨腹腔镜探查术在外科急腹症中的应用价值。方法:随机将80例诊断不明的急腹症患者分成两组,分别行腹腔镜探查和剖腹探查术,比较两者的治疗效果。结果:腹腔镜组40全部获得诊断,漏诊2例,同时完成治疗28例,无需手术治疗4例,中转开腹8例,两组在术后疼痛、术后并发症、住院时间上有显著差异。结论:腹腔镜技术用于急腹症既可明确诊断又能同时进行治疗,且具有诊断率高、创伤小、恢复快、并发症少等优点,但仍有局限性,必要时剖腹探查是避免漏诊的保证。Objective： To explore the value of laparoscopy in exploration of acute abdominal disease.Method：80 patients with acute abdominal disease were randomly divided into two groups.Group A with 40 cases were performed for laparoscopic exploration.Group B with 40 cases were underwent open exploring.The effect was compared with each other.Result： 40 cases of group A obtained diagnosis under the laparoscopy,2 cases missed diagnosis,and 28 cases were treated by laparoscopy,4 cases did not need treatment,8 cases transferred to exploratory laparotomy.There was statistical differences in postoperative pain,postoperative complication and hospitalization between two groups.Conclusion：Laparoscopy can not only diagnose the acute abdominal disease definitely,but also has therapy effect,and it has the advantage of higher correct diagnosis rate,minimum trauma and less complication.But exploratory laparotomy is still the basic pledge of avoiding missed diagnosis.

关 键 词：腹腔镜探查术 急腹症 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]