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目的探讨急腹症患者行急诊腹腔镜检查和治疗的临床应用价值。方法回顾分析我院2004年10月至2009年12月收治的行急诊腹腔镜探查及手术治疗的206例外科急腹症患者的临床资料。结果所有患者于入院后早期急诊行腹腔镜探查均获得明确诊断,全部行腹腔镜手术治疗,无中转开腹病例,全组均获痊愈,术后平均住院天数7d。结论腹腔镜诊治外科急腹症准确、安全,既可明确诊断又能同时进行治疗,对于入院诊断不明确的患者,急诊腹腔镜具有早期诊治,减轻痛苦,缩短住院时间等优点。
Objective To investigate the clinical value of emergency laparoscopy and treatment in patients with acute abdomen. Methods A retrospective analysis of our hospital from October 2004 to December 2009 admitted to the line of emergency laparoscopic exploration and surgical treatment of 206 cases of surgical patients with acute abdomen clinical data. Results All patients were diagnosed laparoscopically in the early emergency after admission. All patients underwent laparoscopic surgery without any laparotomy. All patients were cured and the average postoperative hospital stay was 7 days. Conclusion Laparoscopic diagnosis and treatment of acute abdomen surgery is accurate and safe. It can not only confirm the diagnosis but also treat it at the same time. For patients with unknown diagnosis of admission, emergency laparoscopy has the advantages of early diagnosis and treatment, relieving pain and shortening the length of hospital stay.