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急诊腹腔镜对不明原因急腹症的诊治价值

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目的研究急诊腹腔镜探查术对不明原因急腹症的诊治价值。方法对我院2011年3月-2012年12月39例术前不明原因急腹症患者行急诊腹腔镜探查术。结果全部病例经过手术治疗后均明确诊断。其中阑尾术切除8例,重症胰腺炎清创冲洗引流9例,消化道穿孔修补术12例,原因不明腹痛考虑可能为精神因素导致和功能性引起5例,可疑腹腔内异物4例经腹腔镜探查后取出异物有引流管、纱布等。25例(64%)免除了非必须的剖腹探查术,38例(97.4%)在腹腔镜下得到确切和有效的诊断和及时治疗,1例(2.6%)中转开腹。结论急诊腹腔镜探查术在各种不明原因的急腹症诊断中有重要作用。
Application of Laparoscopy to Acute Abdominal Pain
Objective To explore the clinical efficacy of Laparoscopy in acute abdominal pain. Methods From 2011.3 to 2012.12, 39 patients with acute abdominal pain were explored and treated by Laparoscopy in our hospital. Results All the 39 patients were unequivocally diagnosed during the operation, 8 cases were appendectomy, 9 cases of debridement and clysis and drainage for severe acute pancreatitis, 12 cases of gastro intestinal tract perforation neoplasty, the unexplained abdominal pain 5 cases were suffered from psychological factors and functional, the 4 cases were detected by Laparoscopy and the drainage tube, gauze were extracted from the abdominal cavity. 25(64%) patients were absolved from non-essential exploratory Laparotomy, 38(97.4%) patients were treated by the used of Laparoscopy, 1(2.6%) patients were converted to open surgery. Conclusion Emergency Laparoscopy exploration can not only clarify a diagnosis for acute abdominal pain with unknown causes, but also treat the cases simultaneously.

LaparoscopyAcute Abdominal PainApplication

黄仲昭、陈静英

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515638 广东省潮州市潮安县人民医院外科

腹腔镜 急腹症 价值

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(11)
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