腹腔镜在急腹症中的应用现状及进展  

Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen

作　　者：欧梦川 杨显金[2] 王崇树[1,3] 

机构地区：[1]川北医学院附属医院普外一科,四川南充637000 [2]内江市第一人民医院普外二科,四川内江641000 [3]川北医学院肝胆胰肠研究所,四川南充637000

出　　处：《中国普外基础与临床杂志》2016年第3期378-382,共5页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨腹腔镜技术在外科急腹症中的诊断及治疗价值。方法回顾性收集腹腔镜在急腹症中应用的相关文献,分析总结腹腔镜的优势、适用范围及其对机体的影响,明确腹腔镜技术在外科急腹症中的适应证与相关禁忌证。结果 CO_2气腹对大部分人来说可以耐受,且腹腔镜手术在诊断和治疗上相比开放性手术具有一定优势,现在已广泛用于急腹症的诊断与治疗上。结论腹腔镜手术推荐用于急性阑尾炎、急性胆囊炎、消化性溃疡穿孔等急腹症,而在肠梗阻、肠憩室穿孔和腹部外伤中的运用仍然存在争议,需要更多的与开腹手术对比的随机对照研究来验证。Objective To explore the diagnostic and therapeutic value of laparoscopy in acute abdomen. Methods Related literatures were collected to analyze the advantages, the scope of application, and the effect on the body of laparoscopy, and to clearly defined the indications of laparoscopy in acute abdomen and related taboos. Results Most people could be tolerated for CO2 pneumoperitoneum. Laparoscopic surgery had a certain advantages compared with open surgery in the diagnosis and treatment. It was widely used in the diagnosis and treatment of acute abdomen. Conclusions Laparoscopic surgery is recommended for acute appendicitis, acute cholecystitis, peptic ulcer perforation, and so on, but it is still controversial in intestinal obstruction, intestinal diverticulum perforation, and the application of abdominal trauma, which need more randomized controlled studies comparing with open operation.

关 键 词：腹腔镜 急腹症 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]