[急诊腹腔镜检查在中老年腹腔急性外科疾病患者中的应用]
[Emergency laparoscopy in the examination of middle-aged and elderly patients with acute surgical diseases of the abdominal cavity].
作者信息
Ermolov A S, Zharakhovich I A, Norman I M, Khubua N N
出版信息
Vestn Khir Im I I Grek. 1988 Feb;140(2):124-8.
Urgent laparoscopies were performed on 566 elderly and senile patients suspected of acute surgical diseases of abdominal organs. Laparoscopic examinations proved to be highly informative in 90.4%, little informative in 6.6%, erroneous in 3% of cases. Wide use of urgent laparoscopies in elderly and senile patients allowed to avoid laparotomies in 62.3% of the cases. High curative-diagnostic efficiency of laparoscopies added by laparoscopic cholecystostomy and antegrade cholecystocholangiography in patients with acute cholecystitis, cholecystopancreatitis, mechanical jaundice has been shown.
对566例疑似腹部器官急性外科疾病的老年和高龄患者进行了急诊腹腔镜检查。腹腔镜检查结果显示，90.4%的病例信息丰富，6.6%的病例信息较少，3%的病例存在错误。在老年和高龄患者中广泛应用急诊腹腔镜检查，使62.3%的病例避免了开腹手术。腹腔镜检查联合腹腔镜胆囊造瘘术和顺行性胆囊胆管造影术在急性胆囊炎、胆囊胰腺炎、机械性黄疸患者中显示出较高的治疗诊断效率。
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