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本文介绍了腹腔镜诊断和治疗非创伤性急腹症的经验.一组255例病人,163例女性,92例男性.年龄13～96岁(平均57岁).术前危险的评估按美国麻醉学(ASA)的分类如下:ASA1,92;ASA2,84;ASA3,69;ASA4,10.经腹腔镜确诊者236例(93%),其余19例(7%)须剖腹确诊.经腹腔镜检查纠正术前误诊者50例(20%),有25例(10%)改变了治疗.73%(186/255)的病例经腹腔镜治疗症状缓解,23%(58/255)作了传统手术,4%(11/255)作了腹腔镜辅助手术.手术死亡率为2%,并发症发生率为11%.有关腹腔镜用于诊断急腹症的优点已有报道.Paterson等证明腹腔镜使25%的病例避免了不正确的治疗.本组有93%的病例得到了正确诊断,未确诊者是与病变位置深或肠胀气有关.
This article describes the experience of laparoscopic diagnosis and treatment of non-traumatic acute abdomen. A group of 255 patients, 163 females, 92 males, aged 13 to 96 years (mean 57 years). Preoperative risk assessment according to the United States anesthesiology (ASA), 92, ASA2, 84, ASA3, 69, ASA4, and 10. Laparoscopic diagnosis was performed in 236 patients (93%) and the remaining 19 patients (7%) were diagnosed by laparoscopy Correct preoperative misdiagnosis in 50 cases (20%), 25 cases (10%) changed the treatment .73% (186/255) of the cases by laparoscopic treatment of symptoms, 23% (58/255) of the traditional surgery , 4% (11/255) for laparoscopic assisted surgery.Operation mortality was 2%, the complication rate was 11% .The advantages of laparoscopy for the diagnosis of acute abdomen have been reported.Paterson et al proved laparoscopic So that 25% of the cases to avoid the incorrect treatment.There are 93% of the cases in this group have been correctly diagnosed, not diagnosed with the location of the lesion or flatulence related.