剖腹探查

Hartmann手术23例，单纯结肠造口术5例，回肠-横结肠吻合术2例，剖腹探查术1例。

23 Hartmann operation ; 5 colostomy ; two ileocolic anastomosis and one exploratory laparotomy .

Miles术、Dixon术、改良Bacon术患者的5年生存率分别为40.0%、66.7%、57.3%；仅做剖腹探查及人工肛门术患者的平均生存期为8.3个月。

Of the patients undergone Miles operation , Dixon operation , modified Bacon operation , the 5 year survival rates were 40.0 % , 66.7 % , 57.3 % , respectively , while in the patients received only exploratory laparotomy and artificial anus the mean survival time was 8.3 months .

对这些患者应予以超声或CT引导下穿刺活检，腹腔镜检查，甚至剖腹探查；

These patients should be ultrasound or CT-guided biopsy , laparoscopic examination and even exploratory laparotomy ;

结果：行B超、CT、腹水检查有阳性发现，有的以剖腹探查确诊。

Results : B-ultrasonic , CT , the ascites were founded to be positive with quite a few cases .

结论对于有腹痛，肠道出血及腹内肿块的患者，可选择内窥镜或B超、CT检查，必要时剖腹探查，以确定是否为小肠肿瘤。

Conclusions If a patient had an abdominal pain , intestinal hemorrhage or a palpable abdominal mass , he should be suspected with a small intestinal tumor .

笔者分析了24例急性胰腺炎的CT所见，并同B超、临床化验和剖腹探查结果进行了对照研究。

This paper reported the comparative study of CT , ultrasonography , clinical laboratory and surgical findings in 24 cases of acute pancreatitis at initial and follow - up examination .

方法：剖腹探查手术中采集EMS组及对照组的腹腔液，用酶联免疫吸附法（ELISA）测细胞因子水平。

Methods : Cytokines in intraabdominal fluid were obtained during laparotomy from patients With EMS ( EMS group ) and control group and were determined using ELISA ;

方法：28例分别行99mTc扫描、选择性血管造影（SA）、剖腹探查加术中肠镜检查，均经手术及病理证实。

Methods Twenty-eight cases with small intestinal bleeding were diagnosed by-radionuclide scanning ( 99mTc ), selective angiography , exploratory laparotomy and intra-operative coloscopy , and were confirmed by examination of postoperative pathology .

【结论】严密观察下，血βHCG水平及动态变化，B超盆腔积液包块大小，可作为重复注射和剖腹探查指标，处理腹痛患者要慎重。

[ Conclusion ] Under strict monitoring , the serial level of blood - HCG 、 the volume of liquid and the dimension of adnexal mass in pelvic cavity showed by ultrasound may be the indicator of laparotomy or repeated usage of MTX .

全消化道造影、结肠镜及细针抽吸细胞学（FNAC）和腹腔镜等检查将能提高其诊断率，剖腹探查活检是最后采用的诊断方法。

Gastrointestinal X ray series , colonoscopy , endoscopic fine needle aspiration cytology ( FNAC ) and laparoscopic exploration may improve the diagnosis . Exploratory laparotomy with biopsy was the final procedure for diagnosis .

目的探讨腹部外伤后发生非治疗性剖腹探查（NTEL）的原因，对腹部外伤的早期诊断进行优化。

Objective To study the causes for non therapeutic exploratory laparotomy ( NTEL ) following abdominal trauma and optimize the early diagnosis of abdominal trauma .

21例（77.8%）免除剖腹探查。

21 cases ( 77 . 8 % ) avoided laparotomy ;

结果卵巢妊娠即使是剖腹探查，也有可能误诊。

Results The misdiagnosis of ovarian pregnancy could occur in exploratory laparotomy .

对照组仅做剖腹探查术。

In the control group , laparotomy was performed simply .

行剖腹探查手术6例，死亡4例，其中1例死于败血症、3例死于多器官功能衰竭；

Six underwent laparotomy while 1 and 3 died of septicemia and multi-organ failure respectively ;

然后用其它的血浆代用品或全血来复苏病人，所有病人均进行了急诊剖腹探查手术。

After that , other fluid replacement or blood was used to resuscitate all patients .

结果经剖腹探查确诊8例，尸解确诊1例。

Results There were 8 cases proved by laparotomy , and 1 case by autopsy .

随访47例，平均8。5年，总5年生存率为34。1%。结论剖腹探查有助于本病的诊断和临床分期；

In47 cases followed up for8.5 years averagely , the sum5-year survival rate was34.1 % .

结果本组急诊剖腹探查术的确诊率及手术止血率均为100%。

Results Both the diagnostic rate and hemostasis rate by emergency exploratory laparotomy were 100 % .

结果178例剖腹探查结果的奇数刺伤点135例，占75－8%；

Results Odd number stab wound points were found in 135 cases ( 75 8 % );

行剖腹探查术6例。

Cases were treated by laparotomy .

结论：该组案例中，卵巢肿瘤占第一位，提示盆腔肿块应积极剖腹探查，以早期发现、治疗卵巢恶性肿瘤，改善其预后。

Exploratory laparotomy is indispensable to find early and treat ovarian malignant tumor to improve the prognosis .

结果31例（5962%）急诊剖腹探查明确诊断。

Results The urgent explorative laparotomy provided a definitive diagnosis in 31 ( 59.62 % ) cases .

目的探讨小切口剖腹探查术在结核性腹膜炎中的诊断及治疗价值。

Objective To evaluate the feasibility of small incision exploratory laparotomy in diagnosis and treatment of tuberculous peritonitis .

目的探讨腹部刺伤后剖腹探查时，如何避免遗漏刺伤点病灶。

Objective To study how to avoid missing foci of stab wound during exploration laparotomy after abdominal stab wound .

例1行剖腹探查术后因多脏器功能衰竭死亡；

Patient 1 was misdiagnosed as secondary peritonitis and died of multiple organ failure ( MOF ) after laparotomy .

消化道大出血急诊剖腹探查术中纤维内镜的应用研究

Application Study of Intraoperative Endoscopy during the Emergency Exploratory Laparotomy in the Patients with Acute Massive Digestive Tract Bleeding

方法回顾性分析应用剖腹探查术结合术中肠镜检查对12例急性下消化道出血并失血性休克患者诊治的临床资料。

Methods The clinical data of 12 cases with acute lower digestive tract hemorrhage associated with shock were analyzed retrospectively .

本组96.52%的患者是依靠剖腹探查、组织学检查确定诊断的。

The final diagnosis of 96.52 % patients in this group was depended on exploratory laparotomy and pathological section examination .

结果剖腹探查证实局部复发16例，肝转移6例，腹腔广泛转移8例。

Results 16 cases of local recurrence , 6 liver metastasis and 8 extensive abdominal metastasis were found by open exploration .