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目的探讨腹腔镜在急腹症诊断中的应用价值。方法对我院2003年6月—2009年3月间应用腹腔镜诊断的21例急腹症患者的临床资料进行回顾性分析。结果本组21例急腹症中有19例明确诊断,其中原发性腹膜炎3例,急性阑尾炎并肠粘连3例,结核性腹膜炎2例,急性盆腔炎1例,黄体破裂1例,胃溃疡穿孔1例,急性胰腺炎1例,乙状结肠息室炎1例,癌性腹膜炎2例,肠系膜血管栓塞2例,并进行了相应的外科处理。另外没有明确诊断的2例按节段性肠炎处理症状亦有所缓解。本组无死亡病例,无手术后腹腔残余脓肿及胃肠痰、伤口感染。结论腹腔镜在诊断不明的急腹症的诊断中具有直观、明确、同时进行腹腔镜手术等优点。应用腹腔镜对诊断不明的急腹症病例进行诊治比常规手段更具显著优势,值得推广。
Objective To investigate the value of laparoscopy in the diagnosis of acute abdomen. Methods The clinical data of 21 patients with acute abdomen diagnosed by laparoscopy from June 2003 to March 2009 in our hospital were analyzed retrospectively. Results Of the 21 patients with acute abdomen, 19 were diagnosed correctly, including 3 cases of primary peritonitis, 3 cases of acute appendicitis and intestinal adhesion, 2 cases of tuberculous peritonitis, 1 case of acute pelvic inflammatory disease, 1 case of corpus luteum rupture, 1 case of gastric ulcer 1 case of perforation, 1 case of acute pancreatitis, 1 case of sigmoid colon inflammation, 2 cases of malignant peritonitis, 2 cases of mesenteric vascular embolization, and the corresponding surgical treatment. In addition, there is no clear diagnosis of 2 cases by the treatment of Crohn’s disease symptoms have eased. No deaths in this group, no residual abscess after surgery and abdominal phlegm, wound infection. Conclusion Laparoscopy in the diagnosis of acute abdomen diagnosis is intuitive, clear, at the same time laparoscopic surgery and so on. Laparoscopy diagnosis and treatment of cases of unknown acute abdomen than conventional means more significant advantages, it is worth promoting.