摘要
目的:探讨急性肠系膜上静脉血栓性疾病(ASMVT)早期诊治中腹腔镜的应用价值。方法:对18例术前疑诊为ASMVT的病人早期应用腹腔镜诊治和二次腹腔探查,分析患者术前误诊、确诊情况、手术切除率和治愈率。结果:10例经腹腔镜确诊为ASMVT,二次探查仍选择腹腔镜技术者6例,6例施行一期肠切除吻合,2例行肠断段外置双造瘘术,手术切除率为80%,治愈率为80%。结论:腹腔镜不仅是疑诊ASMVT患者早期诊断和二次探查方法,而且还是及时治疗的手段,可提高ASMVT的诊治水平非常。
Objective ：To evaluate the application and value of laparoscopy in the early diagnosis and treatment of patients with acute superior mesenteric venous thrombosis（ASMVT）. Methods ：18 patients with suspicious ASMVT were surgical diagnosed and treated early or staged second-look to evaluate by laparoscopy. The rate of preoperatived misdiagnosis and diagnosis,surgical resection,cure were analyzed retrospectively. Results ：10 cases received diagnosis,6 cases received second-look by laparoscopy,6 cases received a bowel resection and anastomosis.2 cases were carried out external double ostomy, surgical resection rate were 80% and the cure rate were 80%. Conclusions ： Laparoscopy is early diagnosis and secondary probing methods to patient with suspected ASMVT, and timely treatment, is very useful to improve the diagnosis and treatment level of ASMVT.
出处
《岭南急诊医学杂志》
2016年第4期366-368,共3页
Lingnan Journal of Emergency Medicine
关键词
腹腔镜
急性肠系膜上静脉血栓
应用价值
laparoscopy
acute mesenteric vein thrombosis
application value
