CAJ | 학술논문

目的：探讨腹腔镜技术在急腹症诊治中的可行性。方法回顾性总结121例诊断为急腹症需行手术治疗患者的临床资料，其中腹腔镜探查组55例，剖腹探查组66例。结果121例患者均明确诊断，腹腔镜组55例在腹腔镜下完成手术，4例中转开腹手术，中转开腹率为7.3%；腹腔镜组与剖腹探查组比较并发症7.3%（4/55） vs 22.7%（15/66），差异有统计学意义（P ﹤0.05），手术时间（83±16）min vs（78±20）min，差异无统计学意义（P ﹥0.05），住院时间（5.1±0.8）d vs（6.3±1.5）d，差异有统计学意义（P ﹤0.05）。结论腹腔镜技术在急腹症诊治中有创伤小、住院时间短、并发症少的优点，可做为急腹症外科诊治的首选方式。
목적：탐토복강경기술재급복증진치중적가행성。방법회고성총결121례진단위급복증수행수술치료환자적림상자료，기중복강경탐사조55례，부복탐사조66례。결과121례환자균명학진단，복강경조55례재복강경하완성수술，4례중전개복수술，중전개복솔위7.3%；복강경조여부복탐사조비교병발증7.3%（4/55） vs 22.7%（15/66），차이유통계학의의（P ﹤0.05），수술시간（83±16）min vs（78±20）min，차이무통계학의의（P ﹥0.05），주원시간（5.1±0.8）d vs（6.3±1.5）d，차이유통계학의의（P ﹤0.05）。결론복강경기술재급복증진치중유창상소、주원시간단、병발증소적우점，가주위급복증외과진치적수선방식。
Objective To investigate the feasibility of laparoscopic technique in the diagnosis and treatment of a-cute abdomen. Methods The clinical data of 121 patients with acute abdomen were retrospectively analyzed,including 55 cases in laparoscopic group and 66 cases in laparotomy group. Results The 121 cases were clearly diagnosed. In Laparo-scopic group,51 cases were completed in laparoscopic surgery,4 cases converted to laparotomy,the laparotomy rate was 7. 3% . Laparoscopic group compared with laparotomy group,the rate of complications was 7. 3%(4/ 55)vs 22. 7%(15/ 66) (P ﹤0. 05),operative time was(83 ±16)min vs(78 ± 20)min(P ﹥ 0. 05),hospitalization was(5. 1 ± 0. 8)d vs(6. 3 ± 1. 5)d(P ﹤0. 05). Conclusions The diagnosis and treatment of acute abdominal with laparoscopy,has minimum trauma, shorter hospitalization and less complication. The laparoscopy can be used to treatment acute abdomen as the preferred way.