资源描述：
《腹腔镜在普外科急腹症诊断与治疗中应用》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、腹腔镜在普外科急腹症诊断与治疗中应用【摘要】目的：探讨腹腔镜技术在普外科急腹症诊断治疗中的应用效果和优势。方法：回顾性分析2010年6月—2012年4月本科收治的46例采用腹腔镜技术诊断和治疗的急腹症患者的临床资料。结果：46例急腹症患者经探查：良性十二指肠球部溃疡及胃溃疡穿孔4例、胆囊结石13例、急性胆囊炎6例、胆囊扭转1例、重症急性胰腺炎1例、肠梗阻4例、急性阑尾炎7例，闭合性腹部损伤2例、宫外孕4例、急性盆腔炎2例、原发性腹膜炎2例。46例患者在术中全部明确诊断，确诊率达到100%o行腹腔镜微创手术治疗44例，占95.6%；中转开腹2例，占4.4%。术后住院时间为(6.
2、37±1.09)d,术中术后均无并发症出现，全部治愈出院。结论：腹腔镜技术确诊率高、安全性和疗效显著、术后恢复快，在普外科急腹症诊断和治疗中的临床效果和优势明显。【关键词】腹腔镜；急腹症TheApplicationofLaparoscopyintheDiagnosisandTreatmentofAcuteAbdomeninGeneralSurgery/HELun一xin,LIXi一feng,HUANGJie一shen.//MedicalInnovationofChina,2012,9(29)：123一124[Abstract】Objective：Toexploretheeff
3、ectsandadvantagesofapplicationoflaparoscopictechniqueinthediagnosisandtrea.tmentofgeneralsurgicalacuteabdomen.Method：Retrospectiveanalyze46casesofacuteabdomenwithlaparoscopicdiagnosisandtreatment,thepatientswerecuredfromJune2010toApril2012inourhospita1.Result：46caseswithacuteabdomen：4caseso
4、fbenignduodenalulcerandgastrieulcerperforation,13casesofgallbladderlithiasis,6casesofacutecholecystitis,1caseofgallbladdertorsion,1caseofsevereacutepancreatitis,4casesofintestinalobstruction,7casesofacuteappendicitis,2casesofclosedabdominalinjury,4casesofectopicpregnancy,2casesofacutepelvic
5、inflammatorydisease,2casesofprimaryperitonitis.46patientswereclarifiedadiagnosisduringsurgery,therateofdiagnosiswas100%,44casesoflaparoscopicminimallyinvasivesurgery,accountingfor95.6%；2caseswereconvertedtolaparotomy,accountingfor4.4%.Postoperativehospitalstaywas(6.37±1.09)days,therewasnoco
6、mplicationsinintraoperativeandpostoperativetime.Allpatientswerehealedwhenleavedthehospital.Conclusion:Thelaparoscopictechniqueshashighdiagnosisrate,significantsafetyandefficacy,rapidpostoperativerecovery,obviousclinicaleffectandadvantageinthediagnosisandtreatmentofgeneralsurgicalacuteabdome
7、n.[Keywords]Laparoscope；AcuteabdomenFirst一authorsaddress：ThePeople，sHospitalofGuiyang,Guiyang424400,Chinadoi：10.3969/j.issn.1674—4985.2012.29.082急腹症是腹部急性疾患的简称，具有发病急、病情发展快、疾患类型多、病情复杂等特征。作为一种常见、多发性外科疾病，往往患者在发病后才会意识到。如果救治不及时,会因此而引发诸多并发症，严重者甚至会引起患者死亡，所以及时明确诊
