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目的探讨腹腔镜在诊断不明急腹症中的应用价值。方法回顾性分析了16例诊断不明的急腹症患者的腹腔镜探查结果及治疗效果。结果 16例诊断不明的急腹症患者均在腹腔镜下明确诊断,同时完成治疗的有14例,中转开腹2例,中转开腹率为12.5%且均治愈,无死亡及手术并发症。结论腹腔镜探查术在明确诊断的同时,还能完成治疗,其具有诊断率高,创伤小,恢复快,安全性高等优点,体现了其微创优势,值得临床推广。
Objective To explore the value of laparoscopy in the diagnosis of acute abdomen. Methods A retrospective analysis of 16 cases of acute abdomen diagnosis of laparoscopic results and treatment. Results 16 cases of acute abdomen with unknown diagnosis were confirmed by laparoscopy. Among them, 14 cases were completed laparoscopic surgery, 2 cases were converted to laparotomy, 12.5% were converted to laparotomy, and all were cured without death and complications. Conclusions Laparoscopy can not only diagnose but also complete the treatment, which has the advantages of high diagnostic rate, small trauma, quick recovery and high safety. It reflects its minimally invasive advantages and is worthy of clinical promotion.