腹腔镜诊断和治疗腹部闭合性损伤120例报告

Diagnosis and treatment of blunt abdominal trauma by laparoscope in 120 cases

目的:探讨应用腹腔镜诊断和治疗腹部闭合性损伤的临床效果。方法:120例腹部闭合性损伤患者在腹腔镜下诊断和治疗。结果:120例均于腹腔镜下明确诊断并治疗。其中48例出血停止,56例腹腔镜下止血成功,16例腹腔镜下行脾脏切除术。90例避免了剖腹手术,占75%。结论:腹腔镜可用于腹部闭合性损伤的诊断和治疗,且较腹腔穿刺、腹腔灌洗及剖腹探查简便易行。

Objective： To explore the effect of laparoscopy in diagnosis and treatment of the blunt abdominal trauma. Methods： After general anesthesia, 120 patients were diagnosed and treated by laparoscopy. Results： Intraperitoneal bleeding had stopped in 48 cases before treatment, and was stopped in 56 cases by laparoscopy. Splenectomy was performed under the laparoscopy in 16 cases, and celiotomy was avoided in 90 patients. Conclusions： Laparoscopy is more effective in diagnosis and treatment of blunt abdominal trauma than abdominocentesis, peritoneal irrigation or laparotomy.