CAJ | 학술논문

目的：研究腹腔镜探查术在不明原因急腹症诊治中的应用价值。方法回顾性分析该院2009年3月-2013年5月收治的32例术前不明原因急腹症行腹腔镜探查术的临床资料(腹腔镜组)和同时期收治32例术前不明原因急腹症行开腹探查的临床资料(开腹组)，比较两者之间的疗效。结果与开腹组相比，腹腔镜组患者在术中出血量﹑手术切口大小﹑术后排气时间，术后并发症发生率﹑术后进食时间及术后住院时间均明显缩短，手术时间较开腹组长，差异有统计学意义(P<0.05)，住院费用两组差异无统计学意义(P>0.05)。结论腹腔镜探查术在诊断和治疗不明原因急腹症中有重要作用，值得在临床推广。
목적：연구복강경탐사술재불명원인급복증진치중적응용개치。방법회고성분석해원2009년3월-2013년5월수치적32례술전불명원인급복증행복강경탐사술적림상자료(복강경조)화동시기수치32례술전불명원인급복증행개복탐사적림상자료(개복조)，비교량자지간적료효。결과여개복조상비，복강경조환자재술중출혈량﹑수술절구대소﹑술후배기시간，술후병발증발생솔﹑술후진식시간급술후주원시간균명현축단，수술시간교개복조장，차이유통계학의의(P<0.05)，주원비용량조차이무통계학의의(P>0.05)。결론복강경탐사술재진단화치료불명원인급복증중유중요작용，치득재림상추엄。
Objective To study the application value of laparoscopy in the diagnosis and treatment of acute abdomen with un-known causes. Methods The clinical data of 32 cases with acute abdomen caused by unknown reasons underwent laparoscopy (la-paroscopic group) and 32 cases with acute abdomen caused by unknown reasons underwent laparotomy (open group) in our hospital from March 2009 to May 2013 were analyzed retrospectively. And the efficacies were compared between the two groups. Results Compared with the open group, the amount of intraoperative blood loss, operation incision size, the incidence of postoperative com-plications and postoperative hospital stay of the laparoscopic group were less, postoperative exhaust time and food intake time were earlier, the duration of operation was longer, the differences were statistically significant (P<0.05); the difference in hospitalization expenses between the two groups was not statistically significant. Conclusion Laparoscopy plays an important role in the diagnosis and treatment of unexplained acute abdomen, which is worthy of clinical promotion.