论文部分内容阅读
目的:比较腹腔镜探查术和剖腹探查术在腹部穿透伤治疗中的价值。方法:选择80例轻、中度腹部穿透伤患者并随机分为两组,A组行腹腔镜探查术,B组剖腹探查术。观察两组患者术后VAS评分、住院时间、并发症及司法鉴定结果。结果:A组患者术后VAS评分、住院时间明显低于B组。A组探查后未行进一步治疗的患者均鉴定为轻伤,B组未行进一步治疗的6例患者中有4例鉴定为重伤。结论:与剖腹探查术比较,腹腔镜探查术可明确诊治腹部穿透伤,镜下治疗可降低阴性剖腹探查率,缩短住院时间,且对司法鉴定结果有一定影响。
Objective: To compare the value of laparoscopic exploration and laparotomy in the treatment of penetrating wounds in the abdomen. Methods: Eighty patients with mild to moderate abdominal penetrating injury were selected and randomly divided into two groups. Group A received laparoscopy and group B laparotomy. VAS score, length of stay, complications and forensic results were observed in two groups. Results: The postoperative VAS score and hospital stay in group A were significantly lower than those in group B. All patients in group A who were treated without further treatment were identified as minor injuries and in group B, 4 of the 6 patients who did not undergo further treatment were identified as severely injured. Conclusion: Compared with laparotomy, laparoscopy can clearly diagnose and treat abdominal penetrating injury. Microsurgical treatment can reduce the rate of negative laparotomy and shorten the length of hospital stay, and have certain influence on the results of forensic examination.