腹腔镜在腹部外伤诊治中的应用（附326例报告）

Application of laparoscopy in diagnosis and treatment of abdominal trauma： A report of 326 cases

目的探讨腹腔镜在腹部外伤诊治中的临床意义。方法1994年3月至2011年4月对326例腹部外伤病人使用腹腔镜诊治，并根据镜检结果选择腹腔镜手术或中转开腹手术。结果腹部外伤病人腹腔镜探查及明确诊断326例，腹腔镜下手术284例，中转开腹42例。结论腹腔镜诊治腹部外伤安全、可行、有效，并可早期正确诊断，减少不必要的剖腹手术。

Objective To explore clinical significance of laparoscopy in diagnosis and treatment of abdominal trauma. Methods A retrospective study from March 1994 to April 2011 was performed on 326 cases of abdominal trauma which was diagnosed and treated with laparoscopy. Laparoscopic surgery or open surgical operation was carried. Results Three hundred and twenty-six cases were definitely explored and diagnosed through laparoscopic surgery. Two hundred and eighty-four cases received laparoseopic surgery, and 42 cases were converted to open surgical operation. All cases were diagnosed definitely. Conclusion Laparoscopic surgery is a safe, feasible and effective procedure for the early diagnosis and treatment of abdominal trauma.