腹腔镜在不明原因急腹症中的临床应用

Clinical application of laparoscope in idiopathic acute abdomen

目的探讨腹腔镜在诊断和治疗不明原因急腹症的作用。方法回顾性分析本组2004年12月-2005年12月应用腹腔镜诊断和治疗52例不明原因的急腹症临床资料。结果52例全部确诊,48例在镜下完成手术,4例中转开腹手术,无手术死亡。术后无伤口感染及有关并发症。结论腹腔镜在急腹症中应用不仅是一种安全而准确的诊断方法,而且是良好的治疗手段。

Objective To evaluate the laparoscope in the diagnois and treatment for idiopathic acute abdomen.Methods From December 2004 to December 2005,52 cases with idiopathic acute abdomen applied laparoseopic diagnosis and treatment were analyzed retrospectively Results Diagnosis was confirmed by laparoscopy in all eases .Laparseopie operation was successfully completed in 48 cases,whereas a conversion to open surgery was requied in 4 cases.No operative deaths, no wound infection and other complications were occurred. The mean operative time was 50rain,and the mean hospitalization was from 2-7 days, Conclusion When the laparoseope using in acute abdomen,it is not only a safe and accurate diagnostic method ,but also a good therapeutic measure.