中华普外科手术学杂志(电子版)
中華普外科手術學雜誌(電子版)
중화보외과수술학잡지(전자판)
CHINESE JOURNAL OF OPERATIVE PROCEDURES OF GENERAL SURGERY(ELECTRONIC VERSION)
2008年
3期
326-329
,共4页
腹腔镜检查%消化性溃疡穿孔
腹腔鏡檢查%消化性潰瘍穿孔
복강경검사%소화성궤양천공
Laparoscopy%Peptic ulcer perforation
目的 探讨腹腔镜治疗消化性溃疡急性穿孔的临床价值.方法 对腹腔镜手术组(腔镜组)53例和开腹手术组(开腹组)54例患者的手术时间、术中出血量、肠鸣音恢复时间、住院时间、使用镇痛剂例数、住院费用、术后切口及腹腔感染例数等指标进行比较. 结果 腔镜组术中出血量、术后肠鸣音恢复时间、住院时间、使用镇痛剂等指标均显著小于开腹组(P<0.05). 结论 腹腔镜手术具有侵袭性小、腹腔干扰小、术后痛苦小、肠功能恢复快、住院时间短等优点,可成为治疗消化性溃疡急性穿孔优先选择的治疗方法 .
目的 探討腹腔鏡治療消化性潰瘍急性穿孔的臨床價值.方法 對腹腔鏡手術組(腔鏡組)53例和開腹手術組(開腹組)54例患者的手術時間、術中齣血量、腸鳴音恢複時間、住院時間、使用鎮痛劑例數、住院費用、術後切口及腹腔感染例數等指標進行比較. 結果 腔鏡組術中齣血量、術後腸鳴音恢複時間、住院時間、使用鎮痛劑等指標均顯著小于開腹組(P<0.05). 結論 腹腔鏡手術具有侵襲性小、腹腔榦擾小、術後痛苦小、腸功能恢複快、住院時間短等優點,可成為治療消化性潰瘍急性穿孔優先選擇的治療方法 .
목적 탐토복강경치료소화성궤양급성천공적림상개치.방법 대복강경수술조(강경조)53례화개복수술조(개복조)54례환자적수술시간、술중출혈량、장명음회복시간、주원시간、사용진통제례수、주원비용、술후절구급복강감염례수등지표진행비교. 결과 강경조술중출혈량、술후장명음회복시간、주원시간、사용진통제등지표균현저소우개복조(P<0.05). 결론 복강경수술구유침습성소、복강간우소、술후통고소、장공능회복쾌、주원시간단등우점,가성위치료소화성궤양급성천공우선선택적치료방법 .
Objective To study the value of laparoscopy in treatment of acute digestive ulcer. Methods Laparoscopy group consisted of 53 patients with acute perforation of digestive ulcer but laparotomy group included 54 patients. in the two groups, We analyzed operating time, hemorrhagic volume, intestinal function recovery, postoperative hospital stay, use of antineuragics, cost of hospital stay and postoperative complications. Results Significant difference (P <0.05) was noted in the hemorrhagic volume, intestinal function recovery, postoperative hospital stay, use of antineuragics between the two groups. Conclusions Compared with laparotomy, laparoscopy has such advantages as less injury, less disturbance of celiacorgans, faster recovery, and short postoperative hospital stay in the treatment of acute perforation of digestive ulcer. This method does not increase the cost of hospital stay and it can replace laparotomy.
