腹腔镜诊疗在急腹症中的应用价值

The Clinical Application of Laparoscopy in the Treatment of Acute Abdominal Pain:with an Analysis of 58 Cases

目的探讨腹腔镜诊疗技术在急腹症中的应用价值。方法回顾分析2010年1月-2012年1月58例急腹症腹腔镜诊疗病例,就诊断成功率、手术方式、预后等进行临床分析。结果本组58例急腹症病例中57例予腹腔镜下明确诊断,1例病例中转开腹明确诊断,腹腔镜明确诊断率达98.28%(57/58)。本组病例诊断为急性阑尾炎31例,胃、十二指肠穿孔16例,盆腔炎4例,局限性肠粘连3例,回盲部憩室炎2例,回盲部肿瘤1例,子宫内膜异位症1例。本组病例一期腹腔镜手术成功53例,成功率91.38%(53/58),5例中转开腹。手术时间30～150 min,术后住院3～10 d,平均5.7 d。术后无严重并发症发生,所有病例均痊愈出院。结论腹腔镜诊疗技术可以对急腹症作出准确诊断与治疗,同时,90%以上病例可通过腹腔镜手术获成功治愈。

Objective To explore the role of laparoscopy in the diagnosis and treatment of acute abdominal pain. Methods The clinical data of 58 cases with acute abdominal pain were retrospectively analyzed. Results The causes in 98.28% of 58 pa- tients with acute abdomimal pain were found out. 53 cases were succeeded in laparoscopy（91.38% ） ,5 cases transferred to lapa- rotomy. The operation time ranged from 30 to 150 minutes. The patients were discharged from hospital 3 to 10 days after the opera- tion （ mean,5.7 days）. No serious complications were found in the patients. Conclusion Laparoscopy was high accurate in eval- uating and applicable in treating acute abdominal pain, being a safe and effective curative method.