[严重多发伤中闭合性腹部损伤的外科治疗策略与内镜手术的未来]

[Surgical policy and future of endo-surgery of closed abdominal injuries in severe combined trauma].

作者信息

Alimov A N, Isaev A F, Safronov E P, Otlygin Iu V, Useinov E B, Muradov I U, Guseva A V, Guseva T V

出版信息

Khirurgiia (Mosk). 2006(1):34-7.

PMID:16482056

Abstract

Results of examination and treatment of 646 patients with severe combined trauma and closed abdominal trauma are analyzed. Laparocentesis and laparoscopy were used for diagnosis. Laparocentesis (342 procedures) diagnosed injuries of the abdominal organs in 47% cases and excluded them in 33% cases that made a total of 80% of accurate diagnoses. Laparoscopy (304 procedures) provided accurate diagnosis in 99.34% cases. Laparoscopy did not reveal injuries that required additional surgical procedures in 56% patients, in the rest 44% patients surgical methods of treatment were used including laparotomy (29.2%) and endo-surgical procedures (14.8%). Algorithm of diagnosis and treatment is described.

摘要

分析了646例严重复合伤和闭合性腹部创伤患者的检查和治疗结果。采用腹腔穿刺术和腹腔镜检查进行诊断。腹腔穿刺术（342例）在47%的病例中诊断出腹部器官损伤，在33%的病例中排除了损伤，准确诊断率共计80%。腹腔镜检查（304例）在99.34%的病例中提供了准确诊断。腹腔镜检查未发现56%的患者需要额外手术，其余44%的患者采用了手术治疗方法，包括剖腹手术（29.2%）和内镜手术（14.8%）。描述了诊断和治疗算法。