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目的探讨腹腔镜诊疗技术在急腹症中的应用价值。方法回顾分析2010年1月-2012年1月58例急腹症腹腔镜诊疗病例,就诊断成功率、手术方式、预后等进行临床分析。结果本组58例急腹症病例中57例予腹腔镜下明确诊断,1例病例中转开腹明确诊断,腹腔镜明确诊断率达98.28%(57/58)。本组病例诊断为急性阑尾炎31例,胃、十二指肠穿孔16例,盆腔炎4例,局限性肠粘连3例,回盲部憩室炎2例,回盲部肿瘤1例,子宫内膜异位症1例。本组病例一期腹腔镜手术成功53例,成功率91.38%(53/58),5例中转开腹。手术时间30～150 min,术后住院3～10 d,平均5.7 d。术后无严重并发症发生,所有病例均痊愈出院。结论腹腔镜诊疗技术可以对急腹症作出准确诊断与治疗,同时,90%以上病例可通过腹腔镜手术获成功治愈。
Objective To explore the value of laparoscopic diagnosis and treatment in acute abdomen. Methods A retrospective analysis of January 2010 January 2012 58 cases of acute laparoscopic diagnosis and treatment of cases, the diagnosis of success rate, surgical methods, prognosis for clinical analysis. Results 57 cases of acute abdomen were diagnosed laparoscopically in this group. One case was converted to laparotomy for definite diagnosis. The definite diagnosis rate of laparoscopy was 98.28% (57/58). The patients were diagnosed as acute appendicitis in 31 cases, stomach, duodenal perforation in 16 cases, pelvic inflammatory disease in 4 cases, 3 cases of localized intestinal adhesions, ileocecal diverticulitis in 2 cases, 1 case of ileocecal tumor, endometrial Ectopic 1 case. The first case of laparoscopic surgery in this group of 53 patients successfully, the success rate of 91.38% (53/58), 5 cases of laparotomy. The operation time was 30 to 150 minutes, and the postoperative hospital stay was 3 to 10 days with an average of 5.7 days. No serious postoperative complications occurred, all patients were cured and discharged. Conclusion Laparoscopic diagnosis and treatment of acute abdomen can make accurate diagnosis and treatment, while more than 90% of cases can be successfully cured by laparoscopic surgery.