腹腔镜腹腔探查术在诊断不明的急腹症诊治中的应用  

The application of laparoscopy in diagnosis and treatment of acute abdomen with unknown causes

作　　者：孙发缔[1] 周少波[1] 杨功安[1] 

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2012年第12期1445-1446,共2页Journal of Bengbu Medical College

摘　　要：目的:探讨腹腔镜腹腔探查术在诊断不明的急腹症诊治中的应用价值。方法:对30例因诊断不明而使用腹腔镜腹腔探查术的30例急腹症患者的临床资料进行回顾性分析。结果:30例均得到明确诊断,其中直接在腹腔镜下完成手术治疗21例,中转开腹5例,因原发性腹膜炎结束探查4例,均无术后并发症。结论:腹腔镜腹腔探查术对于诊治诊断不明的急腹症,具有及时有效、确诊率高、安全微创的特点,值得在临床推广运用。Objective：To evaluate the clinical value of laparoscopy in diagnosis and treatment of acute abdomen with unknow causes. Methods：The clinical data of 30 cases with unclear acute abdomen applied laparoscopic diagnosis and treatment were analyzed retrospectively. Results：Thirty cases were diagnosed.Twenty-one cases were treated with laparoscopic surgery,5 cases were converted to laparotomy and 4 cases were primary peritonitis.All patients had no complications. Conclusions：The laparoscopy is a timely,effective,safe,high diagnostic rate and micro-invasive method in unknown reason acute abdomen,which is worth utilizing widely in the clinic.

关 键 词：腹部 急症 外科手术 腹腔镜术 微创外科 

分 类 号：R656.1[医药卫生—急诊医学]