急诊腹腔镜探查术27例分析

Emergency Laparoscopic Exploration for 27 Cases

探讨急诊腹腔镜探查术的适应证和临床应用价值。总结２７例急诊腹腔镜探查术的体会，对病因不明的１２例急腹症和１５例腹部外伤，经腹腔镜检查全部明确了诊断。２１例（７７．８％）免除剖腹探查。全组治愈无并发症。急诊腹腔镜探查术不仅可以对病因不明的急腹症或腹部外伤作出准确诊断，而且大部分病变可同时进行腹腔镜手术治疗，部分无需手术治疗的患者避免了不必要的剖腹探查。即使腹腔镜下不能完成的手术，也可以指导术者及时剖腹，以及确定合适的切口位置。

The indication and clinical valuation of emergency laparoscopic exploration were studied. The results of 27 cases investi- gated by emergency laparoscopic exploration were reported. There were 12 cases of unknown acute abdomen and 15 cases of abdominal trauma. All patients gb final diagnosis.21 cases(77. 8% )avoided laparotomy;6 cases had to undergo laparotrmy; No complication occurred and all recovered well. Not only was the diagnosis made accurately for unknown acute abdomen or abdominal trauma under laparoscopic exploration,but also laparoscopic treatments might be performed for most patients who must be operated on and lamptdries were avoided for those who needed non-operative treatment. Moreover, laparoscopic exploration was a great help for prompt laparotomy and Selection of appropriate incision even if the patients could not be treated laparoscopically.