摘要
目的:观察对比腹腔镜胃十二指肠溃疡穿孔修补术与开腹手术两种不同手术方法的临床效果,以指导临床应用。方法:选择2010年1月-2012年1月在笔者所在医院行腹腔镜胃十二指肠溃疡穿孔修补术患者36例(A组),另选择同期行开腹手术治疗的胃十二指肠溃疡穿孔患者32例(B组),对比分析两组的手术时间、住院时间、引流量、排气时间、术后并发症。结果:两组手术时间、排气时间、住院时间对比,差异有统计学意义(P<0.05)。两组术中、术后不同时间引流量对比,差异有统计学意义(P<0.05)。术后B组发生腹腔脓肿2例,粘连性肠梗阻1例,A组无一例中转开腹,术后无一例发生切口感染、粘连性梗阻及腹腔内感染。结论:腹腔镜胃十二指肠溃疡穿孔修补术的手术效果明显优于开腹手术,值得广泛推广和应用。
Objective： To observe and contrast the efficacy of laparoscopic gastric ulcer perforation repair and open surgery, in order to guide the clinical application.Methods： From January 2010 to January 2012 in our hospital laparoscopic gastric ulcer perforation repair in 36 patients （A group）, and other select underwent iaparotomy gastric ulcer perforation in 32 patients （B group）, the operative time, hospital stay, drainage, exhaust time, post-operative complications were analysed in two groups.Results： The operative time, exhaust time, hospital stay time in A group were less than B group, the difference was statistically significant（P〈O.05）, the difference about intraoperative and postoperative drainage volume were statistically significant in both groups（P〈O.OS）.There were two cases of abdominal abscess and one cases of intestinal obstruction in B group.There were no case for laparotomy and no case of postoperative wound infection, adhesions obstruction and intra-abdominal infections in A group.Conclusion： Laparoscopic gastric ulcer perforation repair effect of surgery is superior to open surgery, should he popularized and applied.
出处
《中外医学研究》
2013年第12期16-17,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜手术
胃十二指肠急性穿孔
开腹手术
引流量
Laparoscopic surgery
Acute gastroduodenal perforation
Laparotomy
Drainage volume
