CAJ | 학술논문

目的比较腹腔镜与传统胃十二指肠穿孔修补术的效果,探讨腹腔镜下行胃十二指肠穿孔修补术的可行性与优越性.方法将68例胃十二指肠穿孔患者分成两组,分别行腹腔镜胃十二指肠穿孔修补术(腔镜组)及开腹修补术(传统组),对比两组的治疗效果.结果两组手术均成功.手术时间腔镜组为(65.30±3.1)min,传统组为(55.2±3.6)min;术中出血量腔镜组为(11.5±8.4) ml,传统组为(38.2±10.7) ml;术后3 d引流量腔镜组为(32±1.3)ml,传统组为(81±2.5) ml;瘢痕长度腔镜组为(1.6±0.2)cm,传统组为(12.3±3.1)cm；住院时间腔镜组为(5±2)d,传统组为(9±2)d.差异均有统计学意义.结论相对传统开腹手术而言,腹腔镜下胃十二指肠穿孔修补术具有创伤小、痛苦轻、恢复快、住院时间短、疗效高及美容效果好等优势.
목적 비교복강경여전통위십이지장천공수보술적효과,탐토복강경하행위십이지장천공수보술적가행성여우월성.방법 장68례위십이지장천공환자분성량조,분별행복강경위십이지장천공수보술(강경조)급개복수보술(전통조),대비량조적치료효과.결과 량조수술균성공.수술시간강경조위(65.30±3.1)min,전통조위(55.2±3.6)min;술중출혈량강경조위(11.5±8.4) ml,전통조위(38.2±10.7) ml;술후3 d인류량강경조위(32±1.3)ml,전통조위(81±2.5) ml;반흔장도강경조위(1.6±0.2)cm,전통조위(12.3±3.1)cm；주원시간강경조위(5±2)d,전통조위(9±2)d.차이균유통계학의의.결론 상대전통개복수술이언,복강경하위십이지장천공수보술구유창상소、통고경、회복쾌、주원시간단、료효고급미용효과호등우세.
Objective Comparing gastric perforation repair with traditional contrast,to explore the feasibility and superiority of the laparoscopic gastric perforation repair.Methods 68 cases were randomly divided into two groups for laparoscopic gastric perforation repair and traditional repair,then compared two groups of treatment.Results Both operations were successful ( including laparoscopic repair in 34 cases) and surgery time,blood loss,postoperative drainage,length of stay,and cosmetic results of the comparison.Conclusion Compared with the traditional open surgery,the laparoscopic surgery had less trauma,leas pain,faster recovery,shorter hospital stay,high efficacy and good cosmetic results and other advantages.