中国内镜杂志2011，Vol.17Issue(12)：1311-1313,3.
腹部刀刺伤的腹腔镜临床诊断与治疗
Clinical laparoscopic diagnosis and treatment for abdominal stab injuries
周程 1夏辉 1李福强 2龚昭 1胡思安 1阮剑1
作者信息
- 1. 湖北省武汉市第一医院肝胆外科,湖北武汉430022
- 2. 咸宁学院药学院,湖北咸宁437100
- 折叠
摘要
Abstract
[Objective] To assess the role of laparoscopy in the diagnosis and treatment of abdominal stab injuries (ASI). [Methods] From July 2004 to August 2010, the data of 72 cases performed laparoscopy for the diagnosis and treatment were analyzed retrospectively. Hemodynamic instability, back injuries, combined severe cranial injuries, and cases with prior abdominal operation were considered as contraindication for laparoscopy. [ Results ] 36 patients (50.0%) received nontherapeutic laparoscopy treatment. 22 cases (30.6%) were operated laparoscopically, including bleeding control in liver and spleen, colonic, gastric, and diaphragmatic repairs and mesentery, omentum bleeding control. Laparotomy was avoided in total of 58 cases (80.5%), and 14 cases (19.4%) were converted to open surgery. In the laparoscopic cases, except for 1 case missed small intestine injury, there were no death and complication. [ Conclusion ] The laparoscopic treatment is a safe and effective management for ASI.关键词
腹腔镜/腹部刀刺伤/创伤/诊断/治疗Key words
laparoscopy/ abdominal stab injuries/ trauma/ diagnosis/ treatment分类
医药卫生引用本文复制引用
周程,夏辉,李福强,龚昭,胡思安,阮剑..腹部刀刺伤的腹腔镜临床诊断与治疗[J].中国内镜杂志,2011,17(12):1311-1313,3.
