腹腔镜技术诊治腹部损伤的应用体会(附102例报告)

The application of laparoscopic technique in diagnosis and treatment of abdominal injury:with a report of 102 cases

目的：探讨腹腔镜技术诊治腹部损伤的价值及疗效。方法：回顾分析为102例腹部损伤患者施行腹腔镜探查的临床资料。结果：102例患者均经腹腔镜探查明确诊断,无漏诊、误诊。18例中转开腹,中转率17.65%,均为闭合性腹部损伤者（22.50%,18/80）,开放性损伤者无一例中转开腹手术。29例（28.43%）为非治疗性。3例中转开腹患者发生切口感染,无其他并发症发生。患者均痊愈出院,无死亡病例;住院4~15d,平均7.4d。结论：腹腔镜探查术诊治腹部外伤安全、有效、微创,相对传统开腹手术具有十分明显的优势,值得临床推广应用。

Objective：To explore the clinical practice method and effect of laparoscopic technique in abdominal injury.Methods：The clinical data of 102 patints with abdominal injury underwent laparoscopic exploration were retrospectively analysed.Results：All the wounded were diagnosed correctly,no missed and error diagnosis.The rate of conversion to open surgery was 17.65%（18/102）,who were all closed abdominal injury（22.50%,18/80）.The laparoscopic exploration of 29 cases（28.43%） was not therapeutic but diagnostic.3 of 18 cases who were converted to open surgery suffered infection of incision,no other complications.All the wounded were cured without dead cases.The average hospital stay was 7.4d（4-15d）.Conclusions：The clinical application of laparoscopic technique in abdominal injury is safe,effective and minimally invasive.There are obvious superiorities compared to the open surgery.It is worth applying commonly.