论文部分内容阅读
目的探讨腹腔镜在非梗阻性急腹症中的应用价值。方法回顾分析2005年4月至2008年10月40例非梗阻性急腹症患者行腹腔镜探查及诊治的临床资料。结果15例未确诊的非梗阻性急腹症经腹腔镜明确诊断后在腔镜下进行了手术治疗13例,其中1例溃疡病穿孔中转开腹完成手术,急性胰腺炎转保守治疗痊愈。25例术前确诊急腹症,直接在腔镜下进行手术。15例术前未确诊的腔镜探查确诊率100%,40例腔镜下手术的中转率为5%。无术中和术后并发症发生,无死亡。本组38例得到随访,随访期2～24个月。结论腹腔镜在非梗阻性急腹症中的应用具有损伤小、痛苦少、术后恢复快和安全有效、并发症少等优点,对提高急腹症诊断准确率、降低误诊率,使患者及时得到合理、有效的治疗有很大帮助。对于诊断困难的急腹症,采用腹腔镜下诊断或可以在腔镜下完成手术,采用腹腔镜诊治在基层医院可以推广应用。
Objective To explore the value of laparoscopy in non-obstructive acute abdomen. Methods A retrospective analysis of 40 cases of non-obstructive acute abdomen in April 2005 to October 2008 laparoscopic exploration and diagnosis and treatment of clinical data. Results Fifteen patients with undiagnosed non-obstructive acute abdomen were diagnosed by laparoscopy. Thirteen patients underwent endoscopic surgery underwent endoscopic surgery. Among them, one was treated by perforation of laparotomy for laparotomy, and the conservative treatment of acute pancreatitis was cured. 25 cases of acute abdomen diagnosed preoperatively, directly under endoscopic surgery. The diagnosis rate of endoscopic diagnosis in 15 cases without preoperative diagnosis was 100%. The conversion rate of endoscopic surgery in 40 cases was 5%. No intraoperative and postoperative complications occurred, no death. The group of 38 patients were followed up for 2 to 24 months. Conclusion The application of laparoscopy in non-obstructive acute abdomen has the advantages of less injury, less pain, quick and safe recovery after operation, fewer complications and so on, which can improve the diagnostic accuracy of acute abdomen and reduce the rate of misdiagnosis, Reasonable and effective treatment can be very helpful. For diagnosis of acute abdomen, the use of laparoscopic diagnosis or surgery can be done under endoscopy, laparoscopic diagnosis and treatment in primary hospitals can promote the use of.