论文部分内容阅读
目的探讨腹腔镜在处理腹膜内型膀胱破裂方面的临床应用价值。方法 20例腹膜内型膀胱破裂患者采用腹腔镜治疗,建立气腹,直视下明确膀胱破口形状、大小,并给予连续全层缝合。结果 20例均在腹腔镜下进一步明确诊断,并给予行腔镜下缝合,平均手术时间53min,平均术中失血量50mL,平均术后住院5d。20例平均随访12个月(6～18个月),术后均恢复良好,无并发症发生。结论腹腔镜处理腹膜内型膀胱破裂具有创伤小、安全、疗效肯定等优点,如合并其他腹部脏器损伤,可一并处理,可作为该类疾病的首选治疗方式。
Objective To investigate the clinical value of laparoscopy in the treatment of intraperitoneal bladder rupture. Methods Twenty patients with intraperitoneal bladder rupture were treated with laparoscopy. The pneumoperitoneum was established. The shape and size of the bladder incision were confirmed under direct vision. Continuous full-thickness suture was given. Results All of the 20 cases were further confirmed by laparoscopy and were treated by endoscopic suture. The average operation time was 53 minutes, the average blood loss was 50ml and the average postoperative hospital stay was 5 days. Twenty patients were followed up for an average of 12 months (range, 6-18 months). All patients recovered well without complication. Conclusion Laparoscopic treatment of intraperitoneal bladder rupture with trauma, safety, efficacy and certain advantages, such as the merger of other abdominal organ injury, can be treated together, can be used as the preferred treatment of such diseases.