腹腔镜技术在急腹症中的应用

The application of laparoscopy in acute abdomen

目的 :为探讨腹腔镜技术在急腹症中的应用价值。方法 :1995年 10月～ 2 0 0 0年 4月 ,应用电视腹腔镜技术为 89例急腹症患者实施了腹腔镜手术治疗。结果 :手术及病理检查证实诊断 ,腹腔镜手术成功 87例 ,成功率 97.8%。结论 :腹腔镜技术在急腹症中的应用具有独特的优势 ,既可明确诊断又可同时进行治疗 ,治疗效果可靠 ,值得进一步推广。但对腹膜间位或后位脏器、部分腹内脏器病变的观察与严重病例的治疗有一定的局限性。

Objective To evaluate the application of laparoscopy in acute abdomen.Method From October 1995 to April 2000,89 patients with acute abdomen underwent the treatment with current laparoscopic devices and techniques.Results With laparoscopy operation was successful in 87 patients,rate of success:97 8%,conversion to open surgery occurred in 2 patients.Two malignancies being missed under the scope were excised by secondary surgery.Conclusion Laparoscopy operation had its own advantage to acute abdomen,the patients got sure diagnoses and treatments,it is worth popularizing and applying.