腹腔镜检查在急性盆腔疼痛中的价值。
The value of laparoscopy in acute pelvic pain.
作者信息
Anteby S O, Schenker J G, Polishuk W Z
出版信息
Ann Surg. 1975 Apr;181(4):484-6. doi: 10.1097/00000658-197504000-00022.
Abstract
Laparoscopy was performed in 223 patients with acute pelvic pain but without a definite diagnosis. The clinically suspected diagnosis was confirmed by laparoscopy in only 57 patients (25%). Laparotomy was thus avoided in 145 patients (65%). The endoscopic findings in the three clinical entities included here are presented: tubal pregnancy, acute appendicitis or torsion of adnexal mass. This study emphasizes the poor correlation between the clinical diagnosis based on history, pelvic examination and physical signs, and the final laparoscopic findings. The value of laparoscopy in evaluation of acute pelvic disease is stressed.
摘要
对223例急性盆腔疼痛但未明确诊断的患者进行了腹腔镜检查。经腹腔镜检查，临床疑似诊断仅在57例患者（25%）中得到证实。因此，145例患者（65%）避免了开腹手术。本文展示了这里所包括的三种临床病症的内镜检查结果：输卵管妊娠、急性阑尾炎或附件肿物扭转。本研究强调了基于病史、盆腔检查和体征的临床诊断与最终腹腔镜检查结果之间的相关性较差。强调了腹腔镜检查在评估急性盆腔疾病中的价值。
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