CAJ | 학술논문

目的探讨腹腔镜治疗胃十二指肠溃疡穿孔修补术的临床疗效.方法将98例胃十二指肠溃疡穿孔患者随机分为两组,对照组49例行传统开腹手术,观察组49例行腹腔镜手术治疗,并比较两组患者的疗效.结果观察组的手术时间、术后出血量、镇痛剂使用率、术后肛门排气时间、首次排便时间、住院时间、术后并发症与对照组比较,差异均有统计学意义(P＜0.05).结论腹腔镜下行胃十二指肠溃疡穿孔修补术具有操作简便、易掌握、创伤小、对脏器干扰小、手术时间短、疼痛轻、恢复快、并发症少等优点,是一种安全、可靠、有效的理想治疗方法.
목적 탐토복강경치료위십이지장궤양천공수보술적림상료효.방법 장98례위십이지장궤양천공환자수궤분위량조,대조조49례행전통개복수술,관찰조49례행복강경수술치료,병비교량조환자적료효.결과관찰조적수술시간、술후출혈량、진통제사용솔、술후항문배기시간、수차배편시간、주원시간、술후병발증여대조조비교,차이균유통계학의의(P＜0.05).결론 복강경하행위십이지장궤양천공수보술구유조작간편、역장악、창상소、대장기간우소、수술시간단、동통경、회복쾌、병발증소등우점,시일충안전、가고、유효적이상치료방법.
Objective To explore the clinical efficacy of laparoscopic neoplasty for perforation of gastro-duodenal ulcer.Methods 98 patients with perforation of gastro-duodenal ulcer were randomly divided into control group and observation group,49 for each group.The control group were treated with conventional laparotomy,while the observation group were treated with laparoscopic neoplasty.The efficacies in both groups were compared.Results The operation time,bleeding volume after surgery,usage of pain killer,time to anus exhaustion after surgery,the first-bowel-movement time,hospitalization time,complications after surgery of the observation group statistically differed from that of the control group(P＜ 0.05).Conclusions Laparoscopic neoplasty for perforation of gastro-duodenal ulcer is easy to handle and command,wounds the patients and disturbs the viscera less,shortens operation time,has less ache,speeds the patients'recovery,and has fewer complications.it is a safe,dependable,effective,and ideal therapeutic method.