应用腹腔镜微创技术诊治单纯性腹部锐器伤  

Application of laparoscopic treatment for abdominal injuries

作　　者：刘凌云[1] 何沙[1] 卢永刚[1] 

机构地区：[1]南方医科大学附属柳州医院肝胆胰外科,广西柳州545007

出　　处：《局解手术学杂志》2013年第5期522-523,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨腹腔镜微创技术在普通外科单纯性腹部锐器伤的应用价值。方法回顾性分析2008年7月至2012年12月我院普通外科用腹腔镜诊治单纯性腹部锐器伤42例患者的临床资料。42例均明确诊断,其中胃裂伤2例,肝裂伤3例,脾破裂2例,小肠破裂14例,大网膜损伤4例,腹壁裂伤12例,肠系膜血管破裂1例,大肠破裂1例,单纯腹膜后血肿3例。腹腔镜下直接缝合修补、结扎、电凝、止血等治疗20例(47.6%,20/42),未特殊处理19例(45.2%,19/42),中转开腹3例(7.1%,3/42)。结果患者均获痊愈,无术后并发症及围手术期死亡病例。结论腹腔镜诊治单纯性腹部锐器伤具有安全、准确性高、并发症少、死亡率低的特点,值得临床推广应用。Objective To evaluate the application of laparoscopy in treatment of abdominal injuries. Methods The clinical data of 42 cases with abdominal injuries in our hospital from July 2008 to December 2012 was retrospectively analyzed. Results Among the 42 cases, there were 2 cases of stomach laceration,3 cases of liver laceration,2 cases of splenic rupture, 14 cases of small intestine rupture,4 cases of omentum majus injury, 12 cases of abdominal wall laceration,l cases of mesenteric vascular rupture, 1 cases of large intestine rupture,and 3 cases of simpe retroperitoneal hematoma. Twenty cases （47.6% ,20/42） with the patients were performed suture, ligation, electroeoagulation, and hemostasis with laparoscope, 19 cases （45.2% , 19/42） were with no special treatment and the other 3 cases （7.1% ,3/42） were converted to laparotomy. There were no postoperative complications or death, and all the patients recovered well. Conclusion Laparoscopic is safe, accurate, with fewer complications and low mortality in the diagnosis and treatment of simple abdominal sharp injuries. It is worth of clinical application.

关 键 词：腹腔镜 单纯性腹部锐器伤 诊断 治疗 

分 类 号：R656[医药卫生—外科学]