CAJ | 학술논문

目的：探讨基层医院腹腔镜探查在外科急腹症中的应用价值。方法：通过对141例外科急腹症患者行腹腔镜探查及治疗的临床资料进行回顾性分析。结果：141例患者经腹腔镜探查全部明确诊断，其中122例在腹腔镜下完成治疗，术后并发肠梗阻1例，脐部穿刺孔感染1例，保守治疗治愈，无其他并发症发生；中转开腹19例，术后并发切口感染3例，肠梗阻2例，保守治疗治愈，膈下感染1例，在B超引导下穿刺置管引流治愈。随访1~20个月，腹腔镜下完成治疗的无远期相关并发症发生，开腹完成手术者1例术后肠梗阻反复发作。结论：随着腹腔镜技术的不断普及，腹腔镜探查在外科急腹症的诊治中，不仅可以明确诊断，且大部分能够完成腹腔镜下治疗，同时可以指导开腹手术的切口选择，值得在基层医院推广。
목적：탐토기층의원복강경탐사재외과급복증중적응용개치。방법：통과대141예외과급복증환자행복강경탐사급치료적림상자료진행회고성분석。결과：141례환자경복강경탐사전부명학진단，기중122례재복강경하완성치료，술후병발장경조1례，제부천자공감염1례，보수치료치유，무기타병발증발생；중전개복19례，술후병발절구감염3례，장경조2례，보수치료치유，격하감염1례，재B초인도하천자치관인류치유。수방1~20개월，복강경하완성치료적무원기상관병발증발생，개복완성수술자1례술후장경조반복발작。결론：수착복강경기술적불단보급，복강경탐사재외과급복증적진치중，불부가이명학진단，차대부분능구완성복강경하치료，동시가이지도개복수술적절구선택，치득재기층의원추엄。
Objective:To investigate the application value of the retrospectively in surgical acute abdomen. Method:Analyzed the clinical data of 141 patients with acute abdomen who underwent the laparoscopic exploration and treatment of the laparoscopic exploration.Result:141 patients after laparoscopic exploration got the definite diagnosis,including 122 cases finished the treatment under the laparoscop treatment;1 cases was complicated by intestinal obstruction after operation;1 case of infection of umbilical puncture,but after the conservative treatment,no other complications occurred;laparotomy in 19 cases,3 cases were complicated by incision infection,2 cases of intestinal obstruction,cured after the conservative treatment,1 case of subphrenic infection,cured by guided percutaneous catheter drainage under B ultrasound.One month~20 months follow-up,surgeries under the laparoscopy has no long-term complications related to treatment. 1 case of postoperative ileus recurrently.Conclusion:With the popularization of laparoscopic technology,in the diagnosis and treatment of surgical acute abdomen,laparoscopy not only can confirm the diagnosis,and mostly can complete laparoscopic treatment,also can guide incision selection during the surgery,worthy of promotion in the primary hospitals.