2023 年第 9 期 第 18 卷

腹腔镜技术在普外科急腹症诊断及治疗中的应用价值研究

Application value of laparoscopic technology in the diagnosis and treatment of acute abdomen in general surgery

作者：陶振洲李洋曹广骆成玉韩威

英文作者：Tao Zhenzhou Li Yang Cao Guang Luo Chengyu Han Wei

单位：首都医科大学附属北京安贞医院普外科，北京100029

英文单位：Department of General Surgery Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：急腹症；腹腔镜技术；诊断和治疗

英文关键词：Acuteabdomen;Laparoscopictechnology;Diagnosisandtreatment

• 摘要：

• 目的  探讨腹腔镜技术在普外科急腹症诊断及治疗中的应用价值。方法 收集2020年3月至2023 年3月首都医科大学附属北京安贞医院收治的以急性腹痛为表现的83例急腹症患者的临床资料行回顾性分析。按照手术方法不同分为开腹组（41例）和腹腔镜组（42例），开腹组采用常规手术探查方法，腹腔镜组使用腹腔镜探查并根据情况行治疗。对比2组患者总体情况、手术及效果指标、临床转归。结果 2组患者均得到了及时有效诊断和治疗。腹腔镜组手术时间、术中出血量及住院时间短于/少于开腹组［（75±18）min比（96±21）min、（30±12）ml比（60±18）ml、（5.6±2.4）d比（8.7±3.2）d］，差异均有统计学意义（均P<0.05）。2组拔除引流管时间、血常规指标恢复时间差异均无统计学意义（均P>0.05）。所有患者术后腹痛症状消失或明显好转，无任何并发症，经常规治疗后所有患者顺利出院。结论 腹腔镜技术对于急腹症患者的诊断和治疗安全有效，并且手术时间、术中出血量及住院时间指标优于传统开腹手术。

• Objective To discuss the application value of laparoscopic technology in the diagnosis and treatment of acute abdomen in general surgery. Methods The clinical data of 83 cases of acute abdomen patients with acute abdominal pain admitted to Beijing Anzhen Hospital, Capital Medical University from March 2020 to March 2023 were collected for retrospective analysis. According to different surgical approaches, they were divided into open surgery group(41 cases) and laparoscopic group(42 cases). The open surgery group used conventional surgical exploration methods , while the laparoscopic group used laparoscopic exploration and treatment according to the situation. The overall situation, surgical and outcome indicators, and clinical outcomes of the two groups of patients were compared. Results Both groups of patients received timely and effective diagnosis and treatment. The laparoscopic group had shorter surgical time, less intraoperative bleeding, and shorter hospital stay than the open surgery group［(75±18)min vs (96±21)min, (30±12)ml vs (60±18)ml, (5.6±2.4)d vs (8.7±3.2)d］(all P<0.05). There were no statistically significant differences in the removal time of the drainage tube and the recovery time of blood routine indicators(both P>0.05). All patients′ postoperative abdominal pain symptoms disappeared or significantly improved without any complications. After regular treatment, all patients were discharged. Conclusions  sLaparoscopic technology is safe and effective for the diagnosis and treatment of acute abdomen patients, and the surgical time, intraoperative bleeding and hospital stay indicators are better than traditional open surgery.