微创时代腹部外伤的伤情评估及治疗

The era of minimally invasive injury assessment and treatment for abdominal trauma

目的探讨微创理念指导下的腹腔镜探查术在腹部外伤伤情评估及治疗中的应用价值。方法回顾性分析84例大同市第五人民医院2005年4月至2011年9月腹外伤病人的临床资料,在微创理念的指导下运用腹腔镜探查术评估伤情,选择治疗方式。结果 84例病人中12例阴性探查,完全腹腔镜下处理34例,其余为开腹或腹腔镜辅助小切口手术,均痊愈出院。结论运用微创理念,腹腔镜探查术能对腹部外伤作出准确的伤情评估及相应的治疗,还为开腹手术指明了方向,做到了微创,安全可靠,避免了阴性剖腹探查,治疗科学合理。

Objective To investigate the application value of laparoscopic exploration in injury assessment andtreatment of abdominal trauma, guided by Concept of minimally invasive.MethodsA retrospective analysis 84 cases ofour hospital in April 2005- September 2005, the clinical data of patients with abdominal trauma, Using of laparoscopicexploration to evaluate condition and choice treatment under the guidance of the concept of minimally invasive.Results12 cases were negative exploration in 84 patients, totally laparoscopic treatment of 34 cases, the rest is open orlaparoscopic assisted small incision surgery, all cases were recovered.ConclusionUsing the concept of minimallyinvasive, laparoscopic exploration can make an accurate assessment of injury in abdominal injury and the correspondingtreatment, also point out the direction for laparotomy. It is minimally invasive, safe and reliable, to avoid the negativelaparotomy, scientific and reasonable treatment.