腹腔镜在急腹症中的应用

Application of laparoscopy in acute abdominal emergency

目的探讨腹腔镜在急腹症中的应用价值。方法回顾性分析2001年1月-2005年8月我院146例急腹症的临床资料。其中急性胆囊炎86例，急性阑尾炎45例，腹部闭合性外伤6例，胃十二指肠溃疡穿孔5例，输卵管积脓3例，粘连性肠梗阻1例。结果134例（91．8％）在腹腔镜下完成诊断和治疗，其中术前不能明确诊断7例；12例（8．2％）中转开腹。无并发症及死亡病例。结论腹腔镜技术在急腹症诊断及治疗中具有安全、可靠、微创的特点，尤其在鉴别诊断中具有很高的价值。

Objective To evaluate clinical effects of laparoscopy in acute abdominal emergency. Methods A retrospective analysis was made on clinical date of 146 cases of acute abdominal emergency from January 2001 to August 2005, including 86 cases of acute cholecystitis, 45 cases of acute appendicitis, 6 cases of closed abdominal trauma, 5 cases of perforation of gastroduodenal ulcer, 3 cases of pyosalpinx, and 1 case of adhesive intestinal obstruction. Results Out of the 146 cases, 134 cases （91.8%） were successfully diagnosed and treated under laparcoscope, including 7 cases which could not be confirmatively diagnosed preoperatively. Conversions to open surgery were required in 12 cases （8.2%）. No complications or fatal cases were noted. Conclusions Laparoscopic technique is safe, reliable, and micro - invasive in the diagnosis and treatment of acute abdominal emergency.