腹腔镜在普外科急腹症诊断和治疗中的应用研究

Application of laparoscopic general surgery in the diagnosis and treatment of acute abdomen

目的探讨普外科急腹症采用腹腔镜诊治的临床效果。方法选取驻马店市第一人民医院2013年6月至2014年6月收治100例普外科急腹症患者，采用腹腔镜诊治，回顾性分析其临床资料。结果本次选取患者100例，均治愈出院，手术时间为（63．6±1．2）min，术中出血量为2-300ml，无输血情况，住院时间（8．5±0．4）d，平均肠功能恢复时间（2．7±0．2）d。术后疼痛轻，需取吗啡注射液肌肉注射镇痛2例。术后无腹腔出血、胆瘘、肠瘘等并发症，出院前行x线摄片、腹部B超检查，无肠梗阻、腹腔积脓等并发症，切口均达甲级愈合，随访，无肠梗阻、切口疝，无瘢痕形成。结论依据普外科急腹症患者的临床特点，采用腹腔镜手术治疗，具有微创、术中出血少、术后恢复快等优点，患者有较高依从性，值得广泛推广应用。

Objective To investigate the clinical effect of laparoseopy on diagnosing and treating acute abdomen in department of general surgery. Methods Selected 100 cases of patients with acute abdomen from June 2013 to June 2014, the 100 cases were treated by laparoscop, and the clinical data were recorded. Results The 100 patients were cured, the average operative time was （63.6 ± 1.2） min, blood loss was 2 - 300 ml, no blood transfusion, the average hospital stay was （ 8.5 ± 0. 4） d, the average recovery time of bowel function was （2. 7 ± 0. 2） d. Two cases were with slight postopera- tive pain and need to take intramuscular injection of morphine analgesia. There was no abdominal bleeding, biliary fistula, intestinal fistula or other complication, was discharged before the line X-ray, abdominal ultrasound B, without obstruction, abdominal complications such as empyema, wound healing reached grade, follow-up, no bowel obstruction, .ineisional her- nia, no scarring. Conclusions Based on the clinical features of patients with acute abdomen in general surgery, laparo- scopic surgery, a minimally invasive, less blood loss, and quicker recovery after surgery, patients have a higher compliance and worthy of widely used.