浙江医学2012，Vol.34Issue(5)：348-350,355,4.
CT、hs-CRP检查结果对腹痛待查患者早期腹腔镜诊治效果的影响
CT scan and serum hs-CRP test prior to laparoscopic exploration for patients with acute abdomen
摘要
Abstract
Objective To evaluate the application of CT scan and serum high sensitivity-C reaction protein (hs-CRP) testprior to laparoscopic exploration for patients with acute abdomen.Methods MethodsOne hundred and forty six patients with acute ab-domen, in whom diffuse peritonitis was excluded, were enrolled in the study. Patients were divided into 4 groups according to the abdominal CT findings and serum hs-CRP levels: group A with both negative CT findings and normal hs-CRP levels, group B with positive CT findings and normal hs-CRP, group C with negative CT findings and high hs-CRP level and group D with both positive CT findings and high hs-CRP levels. The laparoscopic exploration was performed within 24 h after admission. The intra-operative diagnosis rate, cure rate, intraoperative procession rate, length of hospital stay and patient satisfaction were compared among 4 groups.results ResultsThe intraoperative accurate diagnosis rate, cure rate and patient satisfaction of group B, C and D werehigher than those of group A(P<0.05).The intraoperative procession rate of group D was higher than group A(P<0.05), but there were no statistical differences among other groups(P >0.05). There were no significant differences in intraoperative diagnosis rate, cure rate, patient satisfaction and length of hospital stay among groups B, C and D(P >0.05). There was no significant difference in length of hospital stay among all groups(P >0.05).concluslon The preoperative CT examination and serum hs-CRPtest may be beneficial to laparoscopic exploration in patients with non-diffuse peritonitis acute abdomen.关键词
腹腔镜探查/CT/hs-CRP/非弥漫性腹膜炎Key words
Laparoscopic exploration/CT/hs-CRP/Non-diffuse peritonitis引用本文复制引用
周鸿鲲,王晓光,曹浩强,宋政炜,陈徐坚,沈亦珏,蒋达峰..CT、hs-CRP检查结果对腹痛待查患者早期腹腔镜诊治效果的影响[J].浙江医学,2012,34(5):348-350,355,4.基金项目
嘉兴市科技计划项目(2009AY2045) （2009AY2045）
