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目的 为了避免腹部刺伤后，剖腹探查时刺伤点病灶的遗漏。方法 回顾性分析１７８ 例腹壁穿透伤，经剖腹探查证实腹腔器官刺伤点数目是不同的，其计算方法：切线伤、穿透伤、系膜伤、网膜伤的网膜薄已穿透者为两处刺伤点；网膜伤的网膜厚未穿透者，终末伤为一处刺伤点。结果 １７８ 例剖腹探查结果的奇数刺伤点１３５ 例，占７５－８％ ；无刺伤２７ 例，占１５－２ ％ ；偶数刺伤点为１６ 例，占９－０％ ；奇数刺伤点占大多数，与无刺伤、偶数相比较，Ｐ＜ ０－０１ 。由于再次剖腹探查证实，无刺伤有７ 例漏诊，偶数刺伤点患者有６ 例遗漏，所以真正的奇数点为１４８ 例，发生率８３－１ ％ 。结论 腹部刺伤时腹腔器官刺伤点一般多为奇数，如果剖腹探查为偶数或者为无刺伤时，应想到还有１ 个隐蔽的刺伤点尚未发现，进一步详尽探查以防遗漏刺伤点病灶。
Purpose In order to avoid stab wounds after laparotomy, laparotomy lesions missed. Methods Retrospective analysis of 178 cases of abdominal penetrating injury, laparotomy confirmed the number of abdominal puncture site is different, the calculation method: tangential wounds, penetrating wounds, mesangial injury, retinal wound thin penetration has been Who were two stab wounds; retinal wound thickness of non-penetrating retinal, terminal injury as a stab wound. Results 178 cases of laparotomy results of odd number of puncture point 135 cases, accounting for 75-8%; 27 cases without puncture, accounting for 15-2%; even number of punctures was 16 cases, accounting for 9-0%; odd number of punctures Accounting for most, P <0-01 compared with non-stabbing, even numbers. As the laparotomy proved again, there were 7 cases missed without stab wounds and 6 cases with even stab wounds, so the true odd point was 148 cases with the rate of 83-1%. Conclusions Abdominal stab wounds are usually more than odd number of stab wounds, if the laparotomy is even or no stab, you should think of a hidden stab wound has not yet been found, further detailed exploration to prevent missing stab wounds Lesions.