CAJ | 학술논문

合并肠道损伤的腹部创伤患者在早期往往因没有可供明确诊断的临床或影像学征象而延误手术时机，导致死亡率升高。随着腹腔镜技术的发展，其在创伤患者中的应用越来越广泛，但由于担心遗漏肠道损伤，腹腔镜技术在腹部创伤患者中应用相对滞后。本文就腹腔镜技术在腹部创伤并肠道损伤诊治中的应用现状及所存在的问题进行探讨，提出腹部创伤中标准化的腹腔镜探查流程，以提高肠道损伤诊断的准确率。
합병장도손상적복부창상환자재조기왕왕인몰유가공명학진단적림상혹영상학정상이연오수술시궤，도치사망솔승고。수착복강경기술적발전，기재창상환자중적응용월래월엄범，단유우담심유루장도손상，복강경기술재복부창상환자중응용상대체후。본문취복강경기술재복부창상병장도손상진치중적응용현상급소존재적문제진행탐토，제출복부창상중표준화적복강경탐사류정，이제고장도손상진단적준학솔。
Abdominal trauma patients with bowel injury are not available of clinical and radiologic signs for early diagnosis , leading to delayed operation and high mortality .With the development of laparoscopic technique , its application range in trauma becomes wider and wider .However ,the missed diagnosis of bowel injury is the main concern of trauma surgeon in using laparoscopy in abdominal trauma patients .In this paper,the present situation and existing problems of the application of laparoscopic technique in abdominal trauma with bowel injury were dis -cussed.The standard and systemic laparoscopic exploration process was also proposed to improve the accuracy rate of bowel injury diagnosis .