Lavonius M, Gullichsen R, Laine S, Ovaska J
Department of Surgery, University of Turku, Finland.
Surg Laparosc Endosc. 1999 Jan;9(1):42-4.
The purpose of this study was to evaluate the usefulness of exploratory laparoscopy in patients with chronic abdominal pain. Forty-six patients underwent diagnostic laparoscopy for abdominal pain of unknown origin during 1992-1996. The average duration of the symptoms was 3.5 years. Patients with known malignancy were excluded. Seventy-two percent of the patients had undergone previous abdominal or groin surgery. An organic disease was found in 68% of the laparoscopies. Adhesions were found in 29 patients, inguinal hernia in 2 patients, and abnormal mesenteric lymph nodes in 1 patient. Adhesiolysis was carried out in 24 patients. Eighty-nine percent of patients could be contacted for follow-up. Mean follow-up time was 19 months. Seventy-seven percent of patients who had undergone adhesiolysis considered the result good or beneficial. Sixty percent of all patients reported a beneficial outcome after laparoscopy. No major complications were noted. This retrospective study suggests that laparoscopy is a safe and useful procedure in the diagnosis and treatment of chronic abdominal pain.
本研究的目的是评估探索性腹腔镜检查对慢性腹痛患者的实用性。1992年至1996年间，46例患者因不明原因的腹痛接受了诊断性腹腔镜检查。症状的平均持续时间为3.5年。已知患有恶性肿瘤的患者被排除在外。72%的患者曾接受过腹部或腹股沟手术。68%的腹腔镜检查发现了器质性疾病。发现29例患者有粘连，2例患者有腹股沟疝，1例患者肠系膜淋巴结异常。24例患者进行了粘连松解术。89%的患者可以联系到进行随访。平均随访时间为19个月。77%接受粘连松解术的患者认为结果良好或有益。60%的所有患者报告腹腔镜检查后有有益的结果。未发现重大并发症。这项回顾性研究表明，腹腔镜检查在慢性腹痛的诊断和治疗中是一种安全且有用的方法。
