微创技术在常见急腹症诊治中的应用  

Application of minimally invasive technique in the diagnosis and treatment of acute abdomen

作　　者：谢旺 朱斯维[1] 吴舒 蔡成之 阮帅 何湘玉 尹新民[1] Xie Wang;Zhu Siwei;Wu Shu;Cai Chengzhi;Ruan Shuai;He Xiangyu;Yin Xinmin(Department of Hepatobiliary and Pancreas Minimally Invasive Surgery,the First Affiliated Hospital of Hu'nan.Normal University Changsha 410005,China)

机构地区：[1]湖南师范大学附属第一医院肝胆胰微创外科,长沙410005

出　　处：《国际外科学杂志》2021年第10期715-720,共6页International Journal of Surgery

基　　金：湖南省重点研发计划(2017SK2144)。

摘　　要：急腹症是往往以急发腹痛为主要表现的腹部疾患的总称,临床上常见急腹症包含急性阑尾炎、急性胆囊炎、急性胆管炎、急性胰腺炎、消化道穿孔、肠梗阻等疾病,其特征为变化大、进展快,误诊率高、术后并发症发生率高以及病死率高,准确诊断和早期治疗可获得良好的预后。随着对急腹症疾病发生、发展的深入了解及循证医学的发展,微创技术在常见急腹症的诊治上起着举足轻重的作用。诊断上腹腔镜能很大程度明确疾病类型,对于尚不能行手术者,内镜下减压引流,在治疗决策上提供了多元化方案;微创技术在胆源性胰腺炎、阑尾炎、胆管炎的病因治疗上符合疾病的发生、发展,内镜技术在处理并发症的应用上更符合微创理念。Acute abdomen is often a general term for abdominal diseases with acute abdominal pain as the main manifestation.Common clinical acute abdomen includes acute appendicitis,acute cholecystitis,acute cholangitis,acute pancreatitis,gastrointestinal perforation,intestinal obstruction and other diseases,its characteristics are great changes,rapid progress,high misdiagnosis rate,high postoperative complication rate and high mortality rate,accurate diagnosis and early treatment can obtain a good prognosis.With our in-depth understanding of the occurrence and development of acute abdomen diseases and the development of evidence-based medicine,minimally invasive technology plays a pivotal role in the diagnosis and treatment of common acute abdomen.Laparoscopy on diagnosis can clarify disease diagnosis to a large extent.For those who cannot undergo surgery,decompression and drainage under endoscopy provides a diversified plan for treatment decisions.In addition,minimally invasive techniques are also used in etiological treatment and complications.Disease,prevention of recurrence in all aspects,Minimally invasive technology is beneficial to the etiological treatment of biliary pancreatitis,appendicitis and cholangitis,and endoscopic technology is more consistent with the minimally invasive concept in the treatment of complications.

关 键 词：外科手术 微创性 急腹症 诊断 治疗应用 

分 类 号：R656.1[医药卫生—急诊医学]