【摘要】：目的探討腹腔鏡診治慢性不明原因腹痛的價值。方法回顧性分析我院2014年1月~2016年2月56例慢性不明原因腹痛行腹腔鏡手術的臨床資料,先進行腹腔鏡探查,發(fā)現(xiàn)異常進行對應處理。結(jié)果明確病因48例(85.7%),包括腹腔粘連25例,慢性闌尾炎8例,小腸憩室2例,腸結(jié)核2例,淋巴瘤2例,子宮內(nèi)膜異位5例,輸卵管粘連2例,胃癌術后腹膜轉(zhuǎn)移1例,闌尾黏液腺癌1例。手術治療43例,其中3例中轉(zhuǎn)開腹。56例均無術后并發(fā)癥。隨訪率92.9%(52/56),失訪4例。52例術后隨訪3個月~3年(中位數(shù)19.4月)。死亡1例(腹膜轉(zhuǎn)移癌)。腹痛完全緩解(未再出現(xiàn)術前腹痛癥狀)35例(62.5%),疼痛減輕(疼痛程度減弱或間隔延長)12例(21.4%),總有效率83.9%(47/56)。結(jié)論腹腔鏡在慢性不明原因腹痛中具有較高的診斷和治療價值。
[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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