CAJ | 학술논문

目的：探讨腹腔镜胃十二指肠溃疡穿孔修补术的可行性及安全性。方法：对49例腹腔镜和40例开腹胃十二指肠溃疡穿孔修补患者的临床资料进行对比分析。结果：腹腔镜组与开腹组平均手术时间分别为59．28±11．01min和60．15±10．12min ，两组相比无显著性差异（ P＞0．05）；术中出血量分别为20．41±10．07 m l和46．72±16．48 m l；术后疼痛V A S计分分别为2．2±0．9分和4．6±1．8分；术后下床活动时间、肛门排气时间、进食时间及出院时间腹腔镜组明显早于开腹组（P ＜0．05）；腹腔镜组无切口并发症发生，开腹组3例发生盆腔脓肿。结论：与开腹手术相比，腹腔镜胃十二指肠溃疡穿孔修补术具有患者创伤小、疼痛轻、康复快、并发症少等优点。是安全、有效的治疗方法。
목적：탐토복강경위십이지장궤양천공수보술적가행성급안전성。방법：대49례복강경화40례개복위십이지장궤양천공수보환자적림상자료진행대비분석。결과：복강경조여개복조평균수술시간분별위59．28±11．01min화60．15±10．12min ，량조상비무현저성차이（ P＞0．05）；술중출혈량분별위20．41±10．07 m l화46．72±16．48 m l；술후동통V A S계분분별위2．2±0．9분화4．6±1．8분；술후하상활동시간、항문배기시간、진식시간급출원시간복강경조명현조우개복조（P ＜0．05）；복강경조무절구병발증발생，개복조3례발생분강농종。결론：여개복수술상비，복강경위십이지장궤양천공수보술구유환자창상소、동통경、강복쾌、병발증소등우점。시안전、유효적치료방법。
Objective:To study the feasibility and safety of laparoscopy repair of perforated gastroduo-denal ulcer .Methods :The laparoscopy experience on 49 patients with perforated gastroduodenal ulcer was compare with 40 patients who had undergone open repair of perforated gastroduodenal ulcer .Results :The operative time was 59 .28 ± 11 .01 min in the laparoscopy group and 60 .15 ± 10 .12 min in the open group(P>0 .05) .The blood loss was 20 .41 ± 10 .07 ml in the laparoscopy group and 46 .72 ± 16 .48 ml in the open group(P<0 .05) .The VAS grade was 2 .2 ± 0 .9 in the laparoscopy group and 4 .6 ± 1 .8 in the open group (P<0 .05) .The postoperative hospital stay and recovery time were shorter in laparoscopy group(P<0 .05) .There was no complication in the laparoscopy group . In the open group ,three patients had pelvic abscess .Conclusion :Compared with open technique ,the laparoscopy re-pair of perforated gastroduodenal ulcer is safe and feasible ,providing the advantages of less pain ,quicker recovery and less complication .