腹腔镜探查在不明原因小肠出血诊治中的临床应用

Applications of laparoscopic exploration in diagnosis and treatment of small intestinal bleeding

目的探讨腹腔镜探查在不明原因小肠出血诊治中的临床应用价值。方法分析2003-09～2009-02使用腹腔镜探查不明原因小肠出血的14例患者的临床资料。结果全部病例诊断明确并成功止血,手术时间为(70.3±32.6)min,术中失血为(16.1±12.4)ml,手术后住院天数(7.9±3.1)d。术后随访3～30个月内未发生并发症及再出血。结论腹腔镜探查在不明原因小肠出血诊治中具有定位准确、出血少、手术时间短、并发症少、恢复快等优点,值得推广。

Objective To investigate the exploration value of laparoscopy in obscure small intestinal bleeding. Methods The clinic data of 14 patients with obscure small intestinal bleeding undergoing laparoscopic exploration in our hospital from September 2003 to February 2009 were analyzed. Results All the patients were cured successfully. The mean operation time was （70. 3 ±32. 6） rain, the mean intraoperative blood loss was （ 16. 1 ± 12.4） ml. The mean hospital days after operation was （ 7.9± 3.1 ） d. All the patients were followed up from 3 to 30 months. No complications or rehemorrhage was found. Conclusion The laparoscopic exploration has the advantages of exact positioning, less bleeding, less operation time, less complication and quicker recovery in diagnosis and treatment of patients with acute small intestinal bleeding and is worthy of clinical popularization.