[1]王玉祥,李应红,许兴,等.基层医院腹腔镜技术在急腹症中的应用[J].中国微创外科杂志,2012,12(3):286-288.
　Wang Yuxiang,Li Yinghong,Xu Xing,et al.Laparoscopy for Acute Abdominal Diseases in Basic Level Hospitals[J].Chinese Journal of Minimally Invasive Surgery,2012,12(3):286-288.
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基层医院腹腔镜技术在急腹症中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
12
期数:
2012年3期
页码:
286-288
栏目:
基层园地
出版日期:
2012-03-25

文章信息/Info

Title:
Laparoscopy for Acute Abdominal Diseases in Basic Level Hospitals
作者:
王玉祥; 李应红; 许兴; 孙勉勤; 敖士满
贵州省六盘水市盘县第二人民医院外科，盘县553000
Author(s):
Wang Yuxiang;  Li Yinghong;  Xu Xing;  et al.
Department of Surgery, Panxian Second People’s Hospital, Panxian 553000, China
关键词:
基层医院; 腹腔镜; 腹部急腹症
Keywords:
Basic level hospital; Laparoscopy; Acute abdominal disease
分类号:
R656.1
文献标志码:
D
摘要:
2002年1月~2011年3月我科应用腹腔镜对232例急腹症进行探查、手术，227例完成腹腔镜诊断和治疗，2例因胆囊三角冰冻样改变、3例因阑尾周围脓肿中转开腹手术。232例随访3~12个月，平均3.5月，其中随访>6个月89例：1例阑尾切除术后6个月左侧戳孔发生网膜内疝再次手术11 d后痊愈；1例阑尾切除术后12个月右下腹再发疼痛2次，考虑网膜粘连，给予消炎治疗后未再发；6例十二指肠球部穿孔有轻度嗳气、返酸等消化道症状；其余病人均无并发症发生。我们认为腹腔镜诊断和治疗急腹症安全、有效，其微创优势得到充分发挥，也适于女性右下腹急症明确诊断，尤其适合外伤性和病理性急腹症的早诊断、早治疗。严格选择适应证、合理中转手术是急腹症腹腔镜一体化诊疗能否顺利完成的关键。
Abstract:
From January 2002 to March 2011, we carried out laparoscopic abdominal exploration on 232 patients with acute abdominal diseases, 227 of the patients received laparoscopic diagnosis and treatment, and the other 5 patients were converted to open surgery because of frozen gallbladder triangle (2 cases) or abscess of the appendix (3 cases). The patients were followed up for 3 to 12 months with a mean of 5 months (>6 months in 89 cases), during which 1 patient developed left hole retina hernia 6 months after appendectomy, and then recovered in 11 days after a second surgery; 1 patients complained of recurrent pain at the right lower abdomen for twice in 12 months after appendectomy,and retinal adhesion was therefore considered, thus antiinflammation was carried out; 6 patients, who had duodenum perforation, showed mild belching and acid regurgitation; no other complications were reported. We believe that laparoscopy is safe and effective for the diagnosis and treatment of acute abdominal diseases, especially for traumatic and pathological acute abdominal diseases. Strict indications and right timing for conversion to open surgery are the keys to the success of the procedure.

参考文献/References:

[1]胡明秋,宋希,姜成义.急诊腹腔镜探查术的临床应用.中华普通外科杂志,2000,15(7):43.
[2]李炳,陈为兵,王寿青,等.腹腔镜辅助治疗小儿肠套叠22例.中国微创外科杂志,2010,10(10):945-946.
[3]陆光生,薛冰川,景晔,等.腹腔镜在肝脏疾病中的诊治体会.中国微创外科杂志,2005,5(2):138-139.
[4]李印明.腹腔镜在肝脏裂伤中应用(附60例报告).中国微创外科杂志,2006,6(7):538.
[5]蔡秀军,梁霄.腹腔镜技术在肝脏外科的应用现状.中国实用外科杂志,2003,23(1):15-16.
[6]郑成竹,陈丹磊.腹腔镜在脾脏外科中的应用.外科理论与实践,2007,12(2):103-105.
[7]汪斌,丁佑铭,张爱民,等.困难性腹腔镜胆囊切除术手术方法探讨.中国微创外科杂志,2009,9(10):933.
[8]杨旭,贾新,阿不都斯木,等.急性结石性胆囊炎腹腔镜胆囊切除术时机探讨.新疆医学,2006,36(3):56-57.
[9]戴北鸿,谢伯福,杨鸿海,等.腹腔镜下消化道溃疡穿孔修补23例.中国微创外科杂志,2005,5(7):534-535.
[10]曹月敏,王丽,孟翠巧.腹腔镜技术在早期重症急性胰腺炎治疗中的应用.中国微创外科杂志,2010,10(11):988-990.
[11]张学辉,毕研青,吕守田,等.腹腔镜在腹部外伤中的应用.中国微创外科杂志,2008,8(10):956-957.

更新日期/Last Update: 2013-04-11