腹腔镜在非外伤性急腹症中的诊治体会

Laparoscopic Approach to Nontraumatic Acute Abdominal pain

目的:总结腹腔镜在非外伤性急腹症中的诊断和治疗经验。方法:对256例非外伤性急腹症患者的临床资料进行回顾性分析。结果:256例均行腹腔镜探查术,术中正确诊断248例(96.9%),中转开腹8例(3.1%),死亡4例(1.6%),术后并发症9例(3.5%)。结论:腹腔镜技术在急腹症中不仅是一种有效的诊断技术,而且是一种可行的治疗手段。

Objective： To summarize the clinical experience of laparoscopic approach to nontraumatic a- cute abdominal pain. Method： The clinical data of 256 patients with nontranmatic acute abdominal pain were reviewed. Result： Laparoscopy was done in 256 cases. A correct diagnosis was made by means of lapa- roseopy in 248 （96.9%）patients. The conversion rate was 3.1% . Total mortality was 1.6% and total mor- bidity was 3.5%. Conclusion： Laparoseopy in acute abdominal pain is not only an effective nology,but also a feasible treatment. diagnostic tech-