Deschreyer M, Theunis A, Kharkevitch T
Acta Chir Belg. 1976;75(6):631-9.
In a series of 120 closed abdominal trauma the authors compare the reliability of the abdominal symptomatology (60%), of puncture-lavage with an Intracath (92.5%) or with a Diacath (98%) and of laparoscopy (100%). Laparoscopy and puncture-lavage with a Diacath have the same advantages: rapid execution, safeness, reliability. However the preference of the authors goes to the catheter and peritoneal dialysis because of its simplicity and feasability by the surgeon himself. This technique discloses visceral lesions: if positive it allows an earlier diagnosis and operation; if negative it avoids unnecessary laparotomies especially in cases of multiple trauma.
在一组120例闭合性腹部创伤病例中，作者比较了腹部症状（60%）、使用内套管针穿刺灌洗（92.5%）或Diacath穿刺灌洗（98%）以及腹腔镜检查（100%）的可靠性。腹腔镜检查和使用Diacath穿刺灌洗具有相同的优点：操作迅速、安全、可靠。然而，作者更倾向于导管和腹膜透析，因为其操作简单且外科医生本人即可实施。该技术可揭示内脏损伤：若结果为阳性，则能更早地进行诊断和手术；若结果为阴性，则可避免不必要的剖腹手术，尤其是在多发伤的情况下。
