基层医院开展腹腔镜诊治急诊腹部外伤的应用价值

Clinical value of laparoscopic diagnosis and treatment for abdominal trauma emergency in basic hospital

目的探讨腹腔镜腹腔探查术在急诊腹部外伤诊治中的应用价值。方法回顾性总结分析我科自2005年8月至2010年10月收治的62例经腹腔镜探查的腹部外伤患者的临床资料。结果所有62例腹部外伤患者均于腹腔镜下作出正确诊断,诊断准确率100%。其中34例于镜下完成手术,12例未作特殊处理,16例中转开腹手术。手术时间40-180min,平均100min,住院时间3-24d,平均9d。所有患者均全部治愈。结论腹腔镜探查术应用于急诊腹部外伤具有创伤小、诊断准确率高、恢复快等优点;集诊断和治疗一体,可有效地降低阴性剖腹探查率,提高治愈率,值得在基层医院推广应用。

Objective To evaluate the clinical value of laparoscopic diagnosis and treatment for abdominal trauma.Methods Clinical data of 62 cases who were diagnosed and treated by laparoscopic approach from August 2005 to October 2010 were retrospectively analysised.Results All 62 cases of abdominal trauma were correctly diagnosed by laparoscopic approach.Among them,34 cases were treated by laparoscopy,12 cases were diagnosed only witout any treatment,and 16 cases were converted to open operation.The operation time was in 40 to 180 min,and the mean value was 100 min.The hospitalization time was in 3 to 24 d,and the mean value was in 9 d.All cases were cured successfully after surgery.Conclusion Laparoscopic diagnosis and treatment for abdominal trauma have many advantages,such as less trauma,high diagnostic a coordance rate diagnosis and quicker recovery,it would deserve to extend in the basic hospital.