首页|腹腔镜技术在外科急腹症中的应用

腹腔镜技术在外科急腹症中的应用

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目的:探讨腹腔镜技术在外科急腹症中的应用价值。方法2010年3月至2013年3月,行85例急诊腹腔镜手术探查与相应治疗,就诊断成功率、手术方式、预后等进行临床分析。结果本组85例急腹症病例中84例术中明确诊断,1例病例中转开腹明确诊断,腹腔镜明确诊断率达98.82%(84/85)。本组病例诊断为急性阑尾炎46例,胃、十二指肠穿孔24例,盆腔炎6例,局限性肠粘连5例,回盲部憩室炎2例,回盲部肿瘤2例。本组病例一期腹腔镜手术成功78例,成功率91.76%(78/85),7例中转开腹。手术时间40-140min,术后住院3-14d,平均5.5d,所有病例均痊愈出院。85例术后随访1-18个月,无术中、术后并发症。结论腹腔镜诊疗技术可以对急腹症做出准确诊断与治疗,同时,90%以上病例可通过腹腔镜手术获成功治愈。
Objective To explore the efficacy of laparoscopy in acute abdominal pain .Methods From March 2010 to March 2013,85 patients with acute abdominal pain were explored and treated by laparoscopy in our hospital .The clinical data of 85 cases with acute abdominal pain were retrospectively analyzed .Results The causes in 98.82%of 85 patients with acute abdomimal pain were found out.78 cases were succeeded in laparoscopy(91.76%),7cases transferred to laparotomy.The operation time ranged from 40 to 140 minutes.The patients were discharged from hospital 3 to 14 days after the operation(mean,5.5 days).No serious complications were found in the patients.The patients were follow ed up for 1 to 18 months,during which no one showed intra-o r post-operative complications.Conclusion Laparoscopy was high accurate in evaluating and applicable in treating acute abdominal pain,being a safe and effective curative method.

LaparoscopyAcute abdominal pain

高磊、胡德升、刘寒松、胡扬喜

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郑州大学附属郑州中心医院胃肠外科,河南 郑州 450000

腹腔镜 急腹症

2014

中国保健营养(下旬刊)
全国卫生产业企业管理协会

中国保健营养(下旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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