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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.