查詢結果分析
來源資料
相關文獻
- Diagnostic Laparoscopy: Indication and Benefit
- Idiopathic Omental Hemorrhage Presenting as Acute Abdomen: Report of a Case
- 急性腹症
- 腹痛的成因與急性腹症
- Infected Mesenteric Cyst Presenting as Acute Abdomen: Report of a Case
- Scrub Typhus with Presentation of Acute Abdomen
- Acute Surgical Abdoment in Systemic Lupus Erythematosus
- 淺談急性腹症
- Mesenteric Hemangiopericytoma Presenting as Acute Abdomen: Report of a Case
- 急性腹症時放射線檢查的應用
頁籤選單縮合
題 名 | Diagnostic Laparoscopy: Indication and Benefit=診斷性腹腔鏡的適應症與其優點 |
---|---|
作 者 | 虞希堯; 邱仁輝; 龍藉泉; 吳秋文; 雷永耀; | 書刊名 | 中華醫學雜誌 |
卷 期 | 59:3 1997.03[民86.03] |
頁 次 | 頁158-163 |
分類號 | 416.3 |
關鍵詞 | 急性腹症; 診斷性腹腔鏡; 剖腹探查術; Acute abdomen; Diagnostic laparoscopy; Exploratory laparotomy; |
語 文 | 英文(English) |
中文摘要 | 背景:即使檢驗設備不斷創新,仍有許多腹部病症的病因難以確定,病患因而必須接受剖腹探查術。診斷性腹腔鏡的發展,提供了一個低侵襲性的診斷工具,本篇主旨即在探討診斷性腹腔鏡的使用時機及其優點。 方法:自1994年1月至1995年 6月,共有256名患者於臺北榮民總醫院一般外科接受了非緊急性的腹腔鏡手術,其中 20 例為診斷性腹腔鏡,所有病患於術前均曾接受完整的病史調查、理學檢查、實驗室及放射學診斷, 對診斷性腹腔鏡的分析包括:(1)術前臆斷,腹腔鏡手術適應症與診斷和病理診斷之比較; (2)病患對腹腔鏡診斷及治療的反應和預後。 結果:診斷性腹腔鏡主要的適應症包括:急性腹痛( n=4 )、慢性腹痛( n=6 )、分辨腹內腫塊( n=4 )、已知腫瘍的分期( n=3 )和評估腹內植入物的位置與功能( n=3 ), 四名急性腹症患者中之兩名,六名慢性腹痛患者中之一名,七名腹內不明腫塊患者中之四名和所有三名具腹內植入物的患者,經診斷性腹腔鏡後均無需再行剖腹探查術之必要,也因而避免了可能引起的併發症或死亡。未經剖腹手術之病患,手術及住院時間顯較短。 結論:診斷性腹腔鏡雖有易操作、低侵襲性、避免不必要的診斷和治療延誤、避免不必要的剖腹探查術和縮短手術及住院時間之優點,但它畢竟是另一種的診斷工具,傳統的診斷過程永遠是最基本的,剖腹探查術的地位也是絕難取代的。 |
英文摘要 | Background: Patients with an obscure and unrelievable abdominal condition may be forced to receive open laparotomy for diagnosis. Diagnostic laparoscopy has been suggested as an alternative to diagnostic laparotomy in selected cases. The aim of this article is to evaluate the circumstances suitable for laparoscopic diagnosis of certain abdominal conditions and the possible advantages of that approach. Methods: Among 256 patients under-going elective laparoscopic operations using conventionally pneumoperitoneal techniques from January 1994 to June 1995, twenty patients received diagnostic laparoscopy. The correlation between preoperative diagnosis, laparoscopic diagnosis and pathologic diag-nosis as well as the outcome of laparoscopic diagnosis and treatment have been assessed. Results: Major indications for diagnostic laparoscopy included acute abdominal pain (n=4), chronic abdominal pain(n=6), different-iating intraabdominal tumor (n=4), staging known malignancy (n=3) and evaluating intraperitoneal implantation (n=3). Two of the four patients with acute abdominal conditions, one of the six patients with chronic abdominal pain. Four of the seven patients with undifferentiated/unstaged abdominal tumors and all of the three patients with intraperitoneal-implanted drainage tubes had no reasons for a further exploratory procedure, thus preventing the morbidity or mortality which might occur after unnecessary laparotomy. The duration of operation and hospitalization was shorter than the group without laparotomy. Conclusions: Diagnostic laparoscopy benefits patients by avoiding unnecessary surgery, avoiding unnecessary delay in diagnosis and treatment and shortening the operative and hospitalized period. However, it provides only an alternative not a substitute for traditional diagnostic pro-cedures and will never lessen the importance of conventional laparotomy. |
本系統中英文摘要資訊取自各篇刊載內容。