摘要
目的 比较采用倒刺线连续缝合法和传统三针缝合法用于腹腔镜胃十二指肠穿孔修补的疗效与并发症情况。方法 回顾性分析2015年1月至2019年8月汕头潮南民生医院被诊断为胃十二指肠穿孔并接受腹腔镜穿孔修补术的患者103例,分为三针法组和倒刺线法组,其中三针法组55例,倒刺线法组48例,比较两组患者的手术时间、住院时间和术后并发症情况。结果 倒刺线法组的手术时间显著短于三针法组(45.50+10.30min比55.30+13.80min,P<0.001)。两组患者在住院天数、术后肠胀气、腹腔脓肿及二次手术情况的比较,差异无统计学意义(P>0.05)。结论 腹腔镜下采用倒刺线连续缝合胃十二指肠溃疡穿孔方法简便可行,修补穿孔也更为牢固可靠,值得推广。
Objective To compare the curative effect and complications of laparoscopic gastroduodenal perforation repair by using the continuous suture of barbed wire and traditional three needle suture.Methods One hundred and three patients diagnosed with gastroduodenal perforation who underwent laparoscopic perforation repair in Shantou Chaonan Minsheng hospital from January 2015 to August 2019 were analyzed retrospectively.The patients were divided into three-needle group and barbed wire group.There were 55 patients in the three-needle group and 48 patients in the barb wire group.The operation time,hospitalization time and postoperative complications of the two groups were compared.Results The operation time of the reverse needled suture group was significantly shorter than that of the three needle suture group (45.50±10.30min vs 55.30±13.80min,P<0.001).There was no significant difference between the two groups in hospital days,postoperative flatulence,abdominal abscess and secondary operation.Conclusion Laparoscopic repair of gastroduodenal ulcer perforation with barbed wire is simple and feasible,and the repair of perforation is more solid and reliable,which is worth popularizing.
作者
郑荣洁
陈国
Zheng Rongjie;Chen Guo(Area 1,General Surgery Department,Shantou Chaonan Minsheng Hospital,Shantou,Guangdong,515000)
出处
《临床普外科电子杂志》
2020年第1期6-8,共3页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
腹腔镜
胃十二指肠穿孔
修补
倒刺线
Laparoscopic
Gastroduodenal perforation
Repair
Barbed wire
