临床医学
臨床醫學
림상의학
CLINICAL MEDICINE
2014年
11期
34-35
,共2页
腹腔镜%诊断%治疗%闭合性腹部外伤
腹腔鏡%診斷%治療%閉閤性腹部外傷
복강경%진단%치료%폐합성복부외상
Laparoscopy%Diagnosis%Treatment%Closed abdominal trauma
目的：探讨腹腔镜用于闭合性腹部外伤的优势和价值。方法回顾性分析2011年4月至2013年12月行腹腔镜探查及治疗的60例闭合性腹部外伤患者的临床资料。结果60例患者均获得确诊。其中8例中转开腹手术，8例在腹腔镜辅助下取小切口完成手术，余44例均于镜下完成治疗，无手术死亡病例及切口相关并发症发生。结论腹腔镜手术对闭合性腹部外伤不仅可明确诊断，并同时能够及时指导治疗，提高了确诊率，降低了阴性剖腹探查率，具有安全性、准确性高、并发症少、手术病死率低等优点，值得推广应用。
目的：探討腹腔鏡用于閉閤性腹部外傷的優勢和價值。方法迴顧性分析2011年4月至2013年12月行腹腔鏡探查及治療的60例閉閤性腹部外傷患者的臨床資料。結果60例患者均穫得確診。其中8例中轉開腹手術，8例在腹腔鏡輔助下取小切口完成手術，餘44例均于鏡下完成治療，無手術死亡病例及切口相關併髮癥髮生。結論腹腔鏡手術對閉閤性腹部外傷不僅可明確診斷，併同時能夠及時指導治療，提高瞭確診率，降低瞭陰性剖腹探查率，具有安全性、準確性高、併髮癥少、手術病死率低等優點，值得推廣應用。
목적：탐토복강경용우폐합성복부외상적우세화개치。방법회고성분석2011년4월지2013년12월행복강경탐사급치료적60례폐합성복부외상환자적림상자료。결과60례환자균획득학진。기중8례중전개복수술，8례재복강경보조하취소절구완성수술，여44례균우경하완성치료，무수술사망병례급절구상관병발증발생。결론복강경수술대폐합성복부외상불부가명학진단，병동시능구급시지도치료，제고료학진솔，강저료음성부복탐사솔，구유안전성、준학성고、병발증소、수술병사솔저등우점，치득추엄응용。
Objective To investigate the advantages and value of laparoscopy in the closed abdominal trauma. Methods The clinical data of 60 patients with closed abdominal trauma who were diagnosed and treated by laparoscopy from April 2011 to December 2013 were analyzed retrospectively. Results Forty-four cases were treated sucessfully by laparoscopic surgery,8 ca-ses converted to open surgery after diagnosis by laparoscopy,8 cases taken small incision assisted by laparoscope there was no surgery-related deaths or incision related complications. Conclusion Laparoscopy has advantages of safe accurate,with less complicotions,and lower martality caused by operation,and can identify the diagnosis,guide the treatment,improve the diagno-sis rate,reduce the rate of laparotomy,so is worthy to be popularized.
