腹腔镜技术诊治慢性腹痛的临床应用(附36例报告)

Application of laparoscopy in the diagnosis and treatment of chronic abdominal pain (report of 36 cases)

目的探讨腹腔镜在诊断和治疗不明原因慢性腹痛中的作用。方法回顾分析不明原因慢性腹痛36例的临床资料。结果34例明确病因,有效率为94﹪。诊断为肠粘连15例,妇科疾病8例,慢性阑尾炎5例,结核性腹膜炎2例,小肠恶性淋巴瘤1例,腹膜转移癌、回盲部憩室,肠套叠各1例。其中26例在腹腔镜下行治疗,占72.2%。探查或治疗术后均无严重并发症。结论腹腔镜诊断慢性腹痛准确率较高,且有大部分病例可做相应的治疗,值得临床推广应用。

Objective: To explore the role of laparoscopy in the diagnosis and treatment of chronic abdominal pain. Methods: The clinical data of 36 cases with chronic abdominal pain of unknown origin were retrospectively analyzed. Results: 34 patients with abdominal pain were definitely diagnosed and the utility rate is 94%. Among 34 patients with chronic abdominal pain, ankylenterons were found in 15 patients, gynecopathies in 8 patients, chronic appendicitis in 5 patients, tuberculosis of peritoneum in 2 patient and lymphoma of intestine and metastatic carcinoma of peritoneum and ileocecal diverticulum and intussuscepition of intestine in 1 patient respectively. 26 cases received therapeutic laparoscopy and the rate was 72.2%. No seriously complication was found in laparoscopic exploration or treatment. Conclusions: Diagnostic laparoscopy is high accurate in evaluating chronic abdominal pain and therapeutic laparoscopy can be applied in majority of patients. It is valuable for clinical application.