腹腔镜在非梗阻性急腹症中的应用观察

Laparoscopy in the application of non obstructive acute abdomen

目的分析腹腔镜对非梗阻性急腹症患者的临床治疗效果。方法我院2014年6月—2015年5月收治非梗阻性急腹症患者45例,对其行腹腔镜探查及诊治。结果 17例未确诊患者行腹腔镜探查具有100%的探查确诊率,45例腔镜下手术中转率为6.7%,所有患者均未发生术中、术后并发症,无患者死亡。结论腹腔镜手术具有并发症少、有效、安全、术后恢复快、痛苦少、损伤小等优势,能够使非梗阻性急腹症的诊断准确率有效提高,同时使误诊率降低,使患者能够及时得到有效、合理的治疗,具有较好的临床诊断和治疗效果,值得推广。

Objective Analysis of clinical efficacy oflaparoscopy in nonobstructive acute abdomen patients and its application value.Methods From June 2014 to May 2015 were patients, a total of 45 patients with nonobstructive acute abdomen patients,the diagnosis and treatment of laparoscopic exploration and.Results 17 cases were not diagnosed by endoscopic approach with 100% detection rate of diagnosis,45 cases were converted to laparoscopic surgery with rate of 6.7%, all patients had complications,postoperative complications, the mortality rate was 0.In this group,43 patients were followed up for 12 to 1 months.Conclusion For nonobstructive patients with acute abdomen laparoscopic surgery has less complication, safe and effective, faster postoperative recovery, less pain,less injury and other advantages,can effectively improve the accuracy of diagnosis of acute abdomen, and the misdiagnosis rate is reduced,so that patients can get timely treatment is effective,for some difficult to diagnosis the patients with acute abdomen, the use of laparoscopic diagnostic methods, or in the completion of surgery in the laparoscopic clinical has a good diagnosis effect and clinical efficacy, is worthy of promotion.