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腹腔镜在普外科急腹症诊断和治疗中的应用 被引量:13

Laparoscopic Diagnosis of Acute Abdomen in General Surgery and the Treatment
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摘要 目的:探讨普通外科急腹症中腹腔镜的诊治效果。方法:选择我院普外科2009年1月至2010年2月收治的急腹症患者80例采取腹腔镜给予诊断和治疗,与同期我院收治的急腹症采取剖腹探查的患者75例进行比较,对两组患者手术时间及住院时间、探查结果、术中出血情况和治疗效果进行观察比较。结果:观察组于对照组在手术时间上比较无显著差异,不具有统计学意义(P>0.05);观察组术中出血量与对照组相比相对较少(P<0.01);观察组腹腔镜术中对患者明确诊断76例,确诊率为95%,明显高于对照组(P<0.05);观察组患者腹腔镜术后住院时间为(6.26±1.0)d,明显短于对照组(P<0.01)。结论:用腹腔镜对急腹症患者进行诊治,术中出血较少,损伤小,安全有效、在术后可缩短住院时间,与传统的部腹探查手术比较,有显著优势,值得临床推广应用。 Objective:To investigate the diagnosis and treatment of acute abdomen in general surgery laparoscopic application of results. Methods:General surgery in our hospital from January 2009 to February 2010 80 patients admitted to acute abdomen in laparoscopic diagnosis and treatment given with the same period in our hospital in patients with acute abdomen to laparotomy were compared 75 patients the two groups of patients the operation time and hospital stay, exploration results, and treatment of bleeding conditions were observed and compared.Results:In the surgical group than the control group showed no significant time difference was not statistically significant (P〉0.05);observation group blood loss was relatively small compared with the control group (P〈0.01);observation group were Mirror intmopemtive diagnosis of 76 cases of patients,diagnosis was 95%,significantly higher (P〈0.05);The patients after laparoscopic surgery hospital stay was (6.26 4- 1.0)d,significantly shorter than the control group(P〈0.01).Conelusion:The laparoscopic treatment of acute abdomen patients,less blood loss,damage,safe and effective,can shorten hospital stay after surgery, the Ministry of traditional laparotomy surgery compared with a significant advantage, worthy of clinical application.
作者 莫青波
出处 《中国医药导刊》 2011年第5期789-790,共2页 Chinese Journal of Medicinal Guide
关键词 腹腔镜 普通外科 急腹症 诊治 Laparoscopy General Surgery Acute abdomen Treatment
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