腹腔镜用于闭合性肝损伤诊疗34例

JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY（2004）

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Abstract

目的:探讨腹腔镜在诊疗闭合性肝损伤中的可行性及应用价值.方法:回顾性分析34例经腹腔镜诊断与手术治疗的闭合性肝损伤的临床效果和经验.其中肝破裂Ⅰ～Ⅱ级31例,Ⅲ级3例.结果:全组诊断符合率100%.6例(18%)行单纯腹腔镜探查术;14例(41%)行腹腔镜电灼止血术;7例(21%)行腹腔镜肝破裂修补术;2例(6%)行腹腔镜下肝切除术;5例(12%)中转开腹手术;治愈率100%.结论:腹腔镜对闭合性肝损伤的诊断符合率高,对Ⅰ～Ⅱ级肝损伤的治疗效果好,可减少手术治疗的盲目性.

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