目的　为探讨腹腔镜技术在急腹症中的应用价值。方法　回顾分析 5 7例急腹症的病情与手术方式选择的相关因素。结果　手术及病理检查证实诊断 ,腹腔镜手术成功 5 5例 ,成功率 96 %。结论　腹腔镜技术在急腹症诊断及治疗中应用具有独特的优势 ,既可明确诊断又可同时进行治疗 ,疗效可靠 ,值得进一步推广 ;尤其在鉴别诊断中更有价值。但是尚受到病情急缓、仪器设备、医师技术水平、病人经济条件因素限制 Objective To explore the value of laparoscopy in acute abdomen. Methods Retrospective analysis of 57 cases of acute abdomen disease and surgical options related factors. Results Surgery and pathology confirmed the diagnosis of laparoscopic surgery successful 55 cases, the success rate of 96%. Conclusion Laparoscopy has unique advantages in the diagnosis and treatment of acute abdomen. It can not only confirm the diagnosis but also treat it simultaneously, which is reliable and worth further promotion. It is more valuable in differential diagnosis. However, the disease is still slow, equipment, physicians technical level, the constraints of the patient’s economic conditions