摘要
目的探讨腹腔镜用于闭合性腹部外伤的优势和价值。方法回顾性分析2011年4月至2013年12月行腹腔镜探查及治疗的60例闭合性腹部外伤患者的临床资料。结果 60例患者均获得确诊。其中8例中转开腹手术,8例在腹腔镜辅助下取小切口完成手术,余44例均于镜下完成治疗,无手术死亡病例及切口相关并发症发生。结论腹腔镜手术对闭合性腹部外伤不仅可明确诊断,并同时能够及时指导治疗,提高了确诊率,降低了阴性剖腹探查率,具有安全性、准确性高、并发症少、手术病死率低等优点,值得推广应用。
Objective To investigate the advantages and value of laparoscopy in the closed abdominal trauma. Methods The clinical data of 60 patients with closed abdominal trauma who were diagnosed and treated by laparoscopy from April 2011 to December 2013 were analyzed retrospectively. Results Forty-four cases were treated sucessfully by laparoscopic surgery,8 ca-ses converted to open surgery after diagnosis by laparoscopy,8 cases taken small incision assisted by laparoscope there was no surgery-related deaths or incision related complications. Conclusion Laparoscopy has advantages of safe accurate,with less complicotions,and lower martality caused by operation,and can identify the diagnosis,guide the treatment,improve the diagno-sis rate,reduce the rate of laparotomy,so is worthy to be popularized.
出处
《临床医学》
CAS
2014年第11期34-35,共2页
Clinical Medicine
关键词
腹腔镜
诊断
治疗
闭合性腹部外伤
Laparoscopy
Diagnosis
Treatment
Closed abdominal trauma
