Bokarev M I, Molitvoslov A B, Biriukov Iu V, Sergeev S V
Khirurgiia (Mosk). 2004(7):23-5.
Importance of laparoscopy (LS) in diagnosis of intraabdominal catastrophe in patients with combined trauma (CT) is determined. Based on analysis of treatment results in 1,118 patients with CT it was revealed that real LS requirement does not exceed 10%, and it may influence negatively trauma outcome. Low diagnostic value of this method was revealed: sensitivity 98.4%, specificity 51%, accuracy 69.2%. It is concluded that LS is not a method of choice in diagnosis of intraabdominal injuries in patients with CT.
确定了腹腔镜检查（LS）在复合伤（CT）患者腹腔内急症诊断中的重要性。基于对1118例复合伤患者治疗结果的分析发现，实际腹腔镜检查的需求不超过10%，且可能对创伤结果产生负面影响。该方法的诊断价值较低：敏感性98.4%，特异性51%，准确性69.2%。得出结论，腹腔镜检查并非复合伤患者腹腔内损伤诊断的首选方法。
