腹腔镜在慢性腹痛诊治中的应用

The role of laparoscopy in the diagnosis and treatment of chronic abdominal pain(Report of 59 cases)

目的 探讨腹腔镜在慢性腹痛诊断和治疗中的应用价值。方法 总结分析59例慢性腹痛患者腹腔镜诊治的临床资料。结果 全组59例均获病因诊断 ,无并发症发生。诊断为腹腔内粘连48例 ,慢性阑尾炎、腹膜结核各4例 ,恶性间皮瘤、卵巢囊肿和空肠多发性憩室各1例。手术治疗后40例获得随访 ,其中37例无腹痛再次发作 ,2例症状明显减轻 ,1例症状无缓解。 结论

Objective To evaluate the role of laparoscopy in the diagnosis and treatment for chronic abdominal pain.Methods The clinical data of 59 patients with chronic abdominal pain underwent laparoscopy were analyzed.Results The underlining pathological causes of all the 59 patients were found through laparoscopy,and there was no operative complication.Among 59 patients with chronic abdominal pain,abdominal cavity adhesions were found in 48 patients,chronic appendicitis in 4 patients,and tuberculosis of peritoneum in 4 patients, and malignant mesothelioma and ovarian cyst and jejunum multiple diverticulum in 1 patient respectively.Of 40 patients available for follow-up after laparoscopic treatments,37 patients were free of symptoms,and 2 patients had significant amelioration of pain,while one patient had no amelioration.Conclusion Laparoscopy is a safe and useful procedure in the diagnosis and treatment of chronic abdominal pain.