国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
21期
2622-2624
,共3页
腹腔镜%开腹%胃十二指肠%穿孔
腹腔鏡%開腹%胃十二指腸%穿孔
복강경%개복%위십이지장%천공
Laparoscopy%Laparotomy%Stomach andduodenum%Perforation
目的 探讨腹腔镜与开腹手术治疗胃十二指肠穿孔的临床疗效.方法 我院于2008年1月-2011年6月按照随机数字法将72例胃十二指肠穿孔患者随机分为观察组和对照组,两组患者分别采用腹腔镜下和传统开腹行穿孔修补术治疗,并对两组临床疗效进行对比研究.结果 在手术过程中及术后对两组患者的各项临床指标进行比较发现,治疗组患者的术中平均出血量仅为( 13.4±1.4) ml,明显低于对照组的(48.5±1.7) ml；另外,治疗组患者的术后排气时间和下床活动时间与对照组相比也明显减少,差异有显著性(P＜ 0.05).治疗组患者的术后体温异常率仅为7.8％,与对照组(88.0％)相比明显下降,且差异有显著性(P＜ 0.05).结论 腹腔镜下胃十二指肠穿孔修补术较传统开腹修补术具有损伤小、痛苦轻、腹腔干扰小、胃肠功能恢复快、术后并发症少等优点,有临床椎广应用价值.
目的 探討腹腔鏡與開腹手術治療胃十二指腸穿孔的臨床療效.方法 我院于2008年1月-2011年6月按照隨機數字法將72例胃十二指腸穿孔患者隨機分為觀察組和對照組,兩組患者分彆採用腹腔鏡下和傳統開腹行穿孔脩補術治療,併對兩組臨床療效進行對比研究.結果 在手術過程中及術後對兩組患者的各項臨床指標進行比較髮現,治療組患者的術中平均齣血量僅為( 13.4±1.4) ml,明顯低于對照組的(48.5±1.7) ml；另外,治療組患者的術後排氣時間和下床活動時間與對照組相比也明顯減少,差異有顯著性(P＜ 0.05).治療組患者的術後體溫異常率僅為7.8％,與對照組(88.0％)相比明顯下降,且差異有顯著性(P＜ 0.05).結論 腹腔鏡下胃十二指腸穿孔脩補術較傳統開腹脩補術具有損傷小、痛苦輕、腹腔榦擾小、胃腸功能恢複快、術後併髮癥少等優點,有臨床椎廣應用價值.
목적 탐토복강경여개복수술치료위십이지장천공적림상료효.방법 아원우2008년1월-2011년6월안조수궤수자법장72례위십이지장천공환자수궤분위관찰조화대조조,량조환자분별채용복강경하화전통개복행천공수보술치료,병대량조림상료효진행대비연구.결과 재수술과정중급술후대량조환자적각항림상지표진행비교발현,치료조환자적술중평균출혈량부위( 13.4±1.4) ml,명현저우대조조적(48.5±1.7) ml；령외,치료조환자적술후배기시간화하상활동시간여대조조상비야명현감소,차이유현저성(P＜ 0.05).치료조환자적술후체온이상솔부위7.8％,여대조조(88.0％)상비명현하강,차차이유현저성(P＜ 0.05).결론 복강경하위십이지장천공수보술교전통개복수보술구유손상소、통고경、복강간우소、위장공능회복쾌、술후병발증소등우점,유림상추엄응용개치.
Objective To explore the efficacy of laparoscopic surgery and open surgical treatment for gastroduodenal perforation.Methods 72 patients with gastroduodenal perforation who had been hospitalized during the period of January 2008 to June 2011 were randomly assigned to receive endoscopic repair ( study group ) or conventional open surgical repair ( control group ).The efficacy of the two groups were compared.Results Chnical indexes were compared intraoperatively and postoperatively between the two groups.The mean intraoperative blood loss was significantly less in the study group than in the control group ( [13.4 ± 1.4] ml vs.48.5 ± 1.7 )].In addition,time to postoperative flatus and that to ambulation were markedly shorter in the study group than in the control group,the difference being statistically significant ( P ＜ 0.05 ).Rate of abnormal postoperative body temperature was significantly lower in the study group than in the control group ( 7.8％ vs.88.0％ ),the difference being statistically significant ( P ＜ 0.05 ).Conclusions Patients undergoing laparoscopic repair have smaller incision,less pain,slighter abdominal interruption,quicker recovery of gastrointestinal function,and fewer postoperative complications than those receiving conventional open surgical repair.The former procedure is worth popularizing clinically.
