腹腔镜修补术治疗胃十二指肠溃疡穿孔的临床应用价值

摘要

Objective:To discuss the clinical effect of laparoscopic repair in the treatment of gastroduodenal ulcer perforation.Methods:Clinical data of 58 patients with gastroduodenal ulcer perforation between Dec.2014 and Mar.2016 were retrospectively analyzed,patients were divided into two groups:the laparoscopic group (n =27,laparoscopic repair) and the open group (n =31,traditional open procedure).The operation time,the amount of bleeding,the rate of abdominal residual infection,incision infection,removal time of drainage tube,ambulation time,intestinal functional recovery time,hospital stay were analyzed and compared between the two groups.Results:Compared with the control group,the laparoscopic group had the shorter operation time,the fewer amount of bleeding.And the removal time of drainage tube,ambulation time,intestinal functional recovery time,hospital stay were also reduced significantly in the laparoscopic group (P ＜0.01).The rate of incision infection and abdominal residual infection in the laparoscopic group was similar with that in the open group (P ＞ 0.05).Conclusions:The laparoscopic repair is a suitable procedure in the treatment of gastroduodenal ulcer perforation.It's worthy of clinical application.%目的:探讨腹腔镜穿孔修补术治疗胃十二指肠溃疡穿孔的临床效果.方法:回顾分析2014年12月至2016年3月收治的58例胃十二指肠溃疡穿孔患者的临床资料,分为腹腔镜组(n=27,行腹腔镜穿孔修补术)与开腹组(n=31,行传统开腹穿孔修补术).分析比较两组手术时间、出血量、腹腔残余感染、切口感染、引流管拔除时间、下床活动时间、肠功能恢复时间、住院时间等情况.结果:腹腔镜组手术时间、出血量、引流管拔除时间、下床活动时间、肠功能恢复时间、住院时间均优于开腹组(P＜0.01),两组切口感染率、腹腔残余感染率差异无统计学意义(P＞0.05).结论:腹腔镜穿孔修补术是治疗胃十二指肠溃疡穿孔的适宜术式,值得临床推广应用.