腹腔镜技术在急腹症诊治过程中的运用价值探讨

周军虎

（陕西宁西林业局职工医院，陕西西安，710300）

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摘要：

目的 探讨在急腹症诊治中应用腹腔镜技术的临床价值。方法 选取我院急诊科2015年4月至2016年4月收治的160例急腹症患者作为研究对象，均采用腹腔镜技术诊治，分析其临床效果。结果 160例患者术中诊断明确，94.38%成功完成腹腔镜手术，5.63%中转开腹，主要为急性胆囊炎、急性阑尾炎与外伤脾破裂患者;住院时间为(4.5±1.1)d，均痊愈出院。结论 腹腔镜技术在急腹症诊治过程中应用临床价值较高，值得推广。

关键词：腹腔镜技术；急腹症；急性胆囊炎

中图分类号：R656.1文献标志码：A文章编号：2096-1413(2017)05-0145-02

Discussion on application value of laparoscopy in the surgical acute abdomen

ZHOU Jun-hu

(Shaanxi Ningxi Forestry Bureau Worker Hospital, Xian 710300, China)

ABSTRACT: Objective To investigate the clinical value of laparoscopy in the diagnosis and treatment of acute abdomen. Methods One hundred and sixty cases of patients with acute abdomen in Emergency Department of our hospital from April 2015 to April 2016 were selected as study objects. All the patients were received laparoscopy treatment, and the clinical effect was observed. Results One hundred and sixty patients were diagnosed clearly by surgery, 94.38% laparoscopic surgery was successfully completed, 5.63% conversion to open surgery, it was mainly of acute cholecystitis, acute appendicitis and traumatic rupture of the spleen, the patients' hospital stay was (4.5±1.1) d, all the patients were cured. Conclusion Laparoscopy in the diagnosis and treatment of acute abdomen has high value, which is worthy of promotion.

KEYWORDS: laparoscopy; acute abdomen; acute cholecystitis

参考文献：

[1] 张俊,陈应果,李起.腹腔镜诊治急腹症615 例临床分析[J].中华消化外科杂志,2005,4(5):320-322.

[2] 胡斌,邓剑,赵叶平,等.腹腔镜技术在急腹症诊治中的应用体会[J].中国普外基础与临床杂志,2013,20(1):85-87.

[3] 曾文晓.普外科腹腔镜治疗急腹症的临床疗效观察[J].医学信息,2014,9(3):31.

[4] 王俊,任艳军.腹腔镜技术在老年外科急腹症诊治中临床疗效的分析[J].浙江临床医学,2015,17(9):1516-1517.

[5] 吴坤远.腹腔镜技术在普外急腹症诊治中的应用价值分析[J].航空航天医学杂志,2013,24(5):560-561.

[6] 孙跃胜,童晓春,尤孙武,等.腹腔镜技术在急腹症诊治中的应用体会[J].中国民族民间医药,2013,22(23):112.