【摘要】目的:总结腹腔镜探查术在腹部外伤中应用的经验。方法:回顾分析2003年1月至2004年8月因腹部外伤选择腹腔镜探查术35例患者的临床资料。结果:全组治愈。28例发现腹内脏器损伤,其中8例中转开腹。平均手术时间70min,平均住院时间76d。结论:腹腔镜探查可早期明确创伤情况,并可避免不必要的开腹手术,减轻了患者的痛苦。
【关键词】腹腔镜;腹部损伤;探查术
The application of laparoscopic exploration in abdominal injuries
【Abstract】Objective:To summarize the applicative experience of laparoscopic exploration in abdominal injuries.Methods: From Jan.2003 to Aug.2004,35 patients with abdominal injuries had accepted laparoscopic exploration.Their clinical data were analyzed retrospectively.Results:28 cases were discovered that the internal organs were injured in the belly,8 cases were changed open operation.The mean operation time was 70 minutes.The mean hospitalization time was 76 days.Conclusions:Laparoscopic exploration in abdominal injuries make definite the wound situation,can avoid unnecessary abodomen operation,and decrease the suffering of patients.
【Key words】Laparoscopy;Abdominal injuries;Exploratory laparotomy
2003年1月至2004年8月我院对35例腹外伤患者施行了腹腔镜探查术,取得了较满意的效果。
1 资料与方法
11 临床资料
腹外伤35例中男27例,女8例,17~54岁,平均264岁。闭合性腹部外伤16例,腹部锐器伤19例。受伤
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