腹部损伤；腹腔镜检查；病例报告_

腹腔镜诊断和治疗腹部闭合性损伤120例报告

http://www.100md.com 《腹腔镜外科杂志》 2006年第4期

腹部损伤；腹腔镜检查；病例报告,,腹部损伤；腹腔镜检查；病例报告,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【摘要】 目的：探讨应用腹腔镜诊断和治疗腹部闭合性损伤的临床效果。方法：120例腹部闭合性损伤患者在腹腔镜下诊断和治疗。结果：120例均于腹腔镜下明确诊断并治疗。其中48例出血停止，56例腹腔镜下止血成功，16例腹腔镜下行脾脏切除术。90例避免了剖腹手术，占75%。结论：腹腔镜可用于腹部闭合性损伤的诊断和治疗，且较腹腔穿刺、腹腔灌洗及剖腹探查简便易行。

    【关键词】 腹部损伤；腹腔镜检查；病例报告

    Diagnosis and treatment of blunt abdominal trauma by laparoscope in 120 cases PANG Dianfu,HE Delin,GONG Zhilin.Dept.of General Surgery,Jingzhou Hospital,Tongji Medical College,Huazhong University of Science and Technology,Jingzhou 434020,China

    【Abstract】 Objective:To explore the effect of laparoscopy in diagnosis and treatment of the blunt abdominal trauma.Methods:After general anesthesia,120 patients were diagnosed and treated by laparoscopy.Results:Intraperitoneal bleeding had stopped in 48 cases before treatment,and was stopped in 56 cases by laparoscopy.Splenectomy was performed under the laparoscopy in 16 cases,and celiotomy was avoided in 90 patients.Conclusions:Laparoscopy is more effective in diagnosis and treatment of blunt abdominal trauma than abdominocentesis,peritoneal irrigation or laparotomy. ......

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