腹腔镜对慢性不明原因腹痛的诊断与治疗价值

发布时间：2019-07-12 17:52

【摘要】：目的探讨腹腔镜诊治慢性不明原因腹痛的价值。方法回顾性分析我院2014年1月~2016年2月56例慢性不明原因腹痛行腹腔镜手术的临床资料,先进行腹腔镜探查,发现异常进行对应处理。结果明确病因48例(85.7%),包括腹腔粘连25例,慢性阑尾炎8例,小肠憩室2例,肠结核2例,淋巴瘤2例,子宫内膜异位5例,输卵管粘连2例,胃癌术后腹膜转移1例,阑尾黏液腺癌1例。手术治疗43例,其中3例中转开腹。56例均无术后并发症。随访率92.9%(52/56),失访4例。52例术后随访3个月~3年(中位数19.4月)。死亡1例(腹膜转移癌)。腹痛完全缓解(未再出现术前腹痛症状)35例(62.5%),疼痛减轻(疼痛程度减弱或间隔延长)12例(21.4%),总有效率83.9%(47/56)。结论腹腔镜在慢性不明原因腹痛中具有较高的诊断和治疗价值。
[Abstract]:Objective to evaluate the value of laparoscopy in the diagnosis and treatment of chronic unexplained abdominal pain. Methods the clinical data of 56 cases of chronic unexplained abdominal pain in our hospital from January 2014 to February 2016 were analyzed retrospectively. laparoscopic exploration was performed first and the abnormalities were found for corresponding treatment. Results the etiology was confirmed in 48 cases (85.7%), including 25 cases of abdominal adhesion, 8 cases of chronic appendicitis, 2 cases of small intestinal diverticulum, 2 cases of intestinal tuberculosis, 2 cases of lymphoma, 5 cases of Endometriosis, 2 cases of tubal adhesion, 1 case of abdominal metastasis and 1 case of appendix mucinous carcinoma. 43 cases were treated surgically, of which 3 cases were converted to laparotomy. 56 cases had no postoperative complications. The follow-up rate was 92.9% (52 鈮，

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