腹腔镜手术与开腹穿孔修补术治疗胃十二指肠溃疡穿孔疗效对比

摘要

[Abstrac] Objective To study the effect comparison of laparoscopic surgery and laparotomy perforation repair in the treatment of the gastroduodenal ulcer perforation. Methods 86 cases of gastroduodenal ulcer perforation were randomly divided into control group and observation group, control group adopts open for the treatment of duodenal ulcer perforation repair; observation group with laparoscopic gastroduodenal ulcer perforation repair. Compared the operation time, the amount of bleeding during operation, etc. and postoperative complications of the two groups. Results Observation group (5.8±1.3)mL, length of hospital stay (5.2±1.1)d significantly less than the control group (16.3±2.5)mL, (8.5±1.2)d, gastrointestinal function recovery time (2.1±0.6)d significantly earlier than the control group (3.3±1.0)d, observation group therapy complications (4.7%) was significantly lower than the control group (23.3%), the difference was statistically significant (P< 0.05). Conclusion Laparoscopic gastroduodenal ulcer perforation is less than laparotomy intraoperative blood loss, shorter hospitalization time, gastrointestinal function recovery time is short, low inci-dence of postoperative complications, for the good operation for treatment of gastroduodenal ulcer perforation, which is worthy of clinical popularization and application.%目的：探讨腹腔镜手术与开腹穿孔修补术在胃十二指肠溃疡穿孔治疗中效果对比。方法该院2009年11月-2014年11月共收治胃十二指肠溃疡穿孔86例，随机分为对照组和观察组，对照组采用开腹十二指肠溃疡穿孔修补术治疗；观察组采用腹腔镜胃十二指肠溃疡穿孔修补术。比较两组患者的手术时间、术中出血量等及术后并发症情况。结果观察组术中出血量(5.8±1.3)mL、住院时间(5.2±1.1)d显著少于对照组(16.3±2.5)mL、(8.5±1.2)d，胃肠道功能恢复时间(2.1±0.6)d显著早于对照组(3.3±1.0)d，观察组治疗过程中并发症发生率(4.7%)显著低于对照组(23.3%)，差异有统计学意义(P<0.05)。结论腹腔镜胃十二指肠溃疡穿孔较开腹手术术中出血量少，住院时间短，胃肠道功能恢复时间短，术后并发症发生率低，为治疗胃十二指肠溃疡穿孔的较好术式，值得临床推广应用。