腹腔镜在腹部闭合伤治疗中的应用
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摘要
目的:探究腹腔镜在腹部闭合伤治疗中的应用效果。方法:收治腹部闭合伤患者82例,进行腹腔镜探查,对出血部位进行止血,修补损伤脏器,缝合损伤肠管,对出血不止和脏器损伤严重的患者及时转开腹手术治疗。结果:82例均准确诊断,脾损伤7例,肝损伤11例,腹膜后血肿14例,胃肠损伤16例,肠系膜损伤例18例,16例常规留置腹腔引流管。1例死亡,其余81例均治愈出院。结论:腹腔镜可有效探查腹部闭合伤患者损伤部位及程度,应合理应用,结合开腹手术,增强其应用效果。
Objective:To explore the application effect of laparoscopy in the treatment of abdominal closed injury.Methods:82patients with abdominal closed injury were selected.They were given laparoscopic exploration,and given hemostasis for bleeding part,the damaged organs were repaired,the damaged intestinal canals were sutured.The patients with persist bleeding and severe organ injury were timely turned to open surgery.Results:82 cases were diagnosed correctly,7 cases were spleen injury,11 cases were liver injury,14 cases were retroperitoneal hematoma,16 cases were gastrointestinal injury,18 cases were mesenteric injury,16 cases were conventional indwelling peritoneal drainage tube.1 case was died,and the other 81 cases were cured.Conclusion:Laparoscopy can effectively explore the injury site and the degree of patients with abdominal closed injury,it should be reasonable application,and is combined with open surgery to enhance its application effect.
Objective:To explore the application effect of laparoscopy in the treatment of abdominal closed injury.Methods:82patients with abdominal closed injury were selected.They were given laparoscopic exploration,and given hemostasis for bleeding part,the damaged organs were repaired,the damaged intestinal canals were sutured.The patients with persist bleeding and severe organ injury were timely turned to open surgery.Results:82 cases were diagnosed correctly,7 cases were spleen injury,11 cases were liver injury,14 cases were retroperitoneal hematoma,16 cases were gastrointestinal injury,18 cases were mesenteric injury,16 cases were conventional indwelling peritoneal drainage tube.1 case was died,and the other 81 cases were cured.Conclusion:Laparoscopy can effectively explore the injury site and the degree of patients with abdominal closed injury,it should be reasonable application,and is combined with open surgery to enhance its application effect.
引文
[1]李升,李卫东.腹腔镜诊治腹部闭合伤35例临床体会[J].微创医学,2011,6(4):367-368.
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[3]秦安,孙健.腹腔镜诊治腹部闭合伤42例体会[J].中国保健,2005,13(12):14-15.
[4]杨涛,李高岩,苏忠,等.闭合性腹外伤剖腹探查与腹腔镜探查对比分析[J].中国综合临床,2013,29(12):1311-1312.
[5]姜洪池,侯立民.腹部实质性脏器损伤的诊断与剖腹探查[J].中国实用外科杂志,2003,23(7):391-349.
[6]董李.腹部创伤早期抢救与剖腹探查的指征[J].社区医学杂志,2009,7(13):85.
[7]邱慧模,劳景茂,何文海,等.腹腔镜在腹部外伤中的应用[J].微创医学,2010,5(4):412-413.
[8]王留章,郭艳军.腹腔镜在腹部闭合伤可疑内脏损伤的应用[J].河南外科学杂志,2001,7(2):171-172.
[2]冯雁康,崔明.腹腔镜在腹部闭合性损伤中的应用[J].西南国防医药,2010,20(2):150-151.
[3]秦安,孙健.腹腔镜诊治腹部闭合伤42例体会[J].中国保健,2005,13(12):14-15.
[4]杨涛,李高岩,苏忠,等.闭合性腹外伤剖腹探查与腹腔镜探查对比分析[J].中国综合临床,2013,29(12):1311-1312.
[5]姜洪池,侯立民.腹部实质性脏器损伤的诊断与剖腹探查[J].中国实用外科杂志,2003,23(7):391-349.
[6]董李.腹部创伤早期抢救与剖腹探查的指征[J].社区医学杂志,2009,7(13):85.
[7]邱慧模,劳景茂,何文海,等.腹腔镜在腹部外伤中的应用[J].微创医学,2010,5(4):412-413.
[8]王留章,郭艳军.腹腔镜在腹部闭合伤可疑内脏损伤的应用[J].河南外科学杂志,2001,7(2):171-172.