腹腔镜探查和治疗急腹症29例体会

目的:探讨腹腔镜在临床急腹症诊断及治疗中的应用。方法:选取我院2008年11月～2010年4月行腹腔镜探查治疗急腹症患者29例的临床资料进行回顾性分析。结果:29例患者中,急性胆囊炎5例,胃十二指肠溃疡病穿孔3例,消化道穿孔2例,急性阑尾炎5例,粘连性肠梗组2例,腹腔内积血3例,肠系膜血栓形成2例,腹部闭合伤4例,原发性腹膜炎3例。结论:腹腔镜治疗外科急腹症具有快速诊治、创伤小、并发症少、病人恢复快等优点,临床疗效满意。

discussed in clinical diagnosis of acute laparoscopic and treatment of application.Methods select from November 2008 to April 2010 patients with acute abdominal disease treatment laparoscopic exploration of 29 patients were retrospectively analysed.The results in 29 cases,5 cases with acute cholecystitis, duodenal ulcer disease stomach perforation in 3,gastrointestinal perforation in 2,5 cases of acute appendicitis,adhesion sex bowel infarction group 2 cases,hemoperitoneum in 3 cases,mesenteric thrombosis in 2,4 cases were closed abdominal injury,3 cases of idiopathic peritonitis.Conclusion laparoscopic surgical treatment of acute abdominal disease diagnosis and treatment with a fast,small trauma,fewer complications,and patients faster recovery etc,and clinical results are satisfied.