中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
23期
130-132
,共3页
腹腔镜%胃十二指肠溃疡%穿孔修补
腹腔鏡%胃十二指腸潰瘍%穿孔脩補
복강경%위십이지장궤양%천공수보
Laparoscopic%Gastroduodenal ulcer%Perforation repair
目的：探讨在基层医院腹腔镜下修补胃十二指肠溃疡穿孔的安全性、可行性及疗效。方法：回顾分析本科2006年1月-2014年1月收治腹腔镜下修补胃十二指肠溃疡急性穿孔65例的临床资料。结果：64例患者腹腔镜下修补成功，另有1例因十二指肠球后穿孔操作困难即中转开腹完成手术，腹腔镜下修补手术时间为（65±25）min，手术后住院时间（7±2）d。全部患者无术后修补失败而再漏、出血、腹腔及穿刺孔的感染，以及肠粘连梗阻或胃十二指肠梗阻等并发症，穿刺孔一期愈合，患者均痊愈出院，出院后继续经消化内科规范治疗。结论：经腹腔镜修补胃十二指肠溃疡急性穿孔具有手术创伤小、术后痛疼轻、出血少、美容、腹腔干扰轻、冲洗彻底、肠道排气早、恢复快及感染并发症少，并兼顾明确诊断与治疗等优点，并且安全可靠，操作简单，便于在基层医院推广。
目的：探討在基層醫院腹腔鏡下脩補胃十二指腸潰瘍穿孔的安全性、可行性及療效。方法：迴顧分析本科2006年1月-2014年1月收治腹腔鏡下脩補胃十二指腸潰瘍急性穿孔65例的臨床資料。結果：64例患者腹腔鏡下脩補成功，另有1例因十二指腸毬後穿孔操作睏難即中轉開腹完成手術，腹腔鏡下脩補手術時間為（65±25）min，手術後住院時間（7±2）d。全部患者無術後脩補失敗而再漏、齣血、腹腔及穿刺孔的感染，以及腸粘連梗阻或胃十二指腸梗阻等併髮癥，穿刺孔一期愈閤，患者均痊愈齣院，齣院後繼續經消化內科規範治療。結論：經腹腔鏡脩補胃十二指腸潰瘍急性穿孔具有手術創傷小、術後痛疼輕、齣血少、美容、腹腔榦擾輕、遲洗徹底、腸道排氣早、恢複快及感染併髮癥少，併兼顧明確診斷與治療等優點，併且安全可靠，操作簡單，便于在基層醫院推廣。
목적：탐토재기층의원복강경하수보위십이지장궤양천공적안전성、가행성급료효。방법：회고분석본과2006년1월-2014년1월수치복강경하수보위십이지장궤양급성천공65례적림상자료。결과：64례환자복강경하수보성공，령유1례인십이지장구후천공조작곤난즉중전개복완성수술，복강경하수보수술시간위（65±25）min，수술후주원시간（7±2）d。전부환자무술후수보실패이재루、출혈、복강급천자공적감염，이급장점련경조혹위십이지장경조등병발증，천자공일기유합，환자균전유출원，출원후계속경소화내과규범치료。결론：경복강경수보위십이지장궤양급성천공구유수술창상소、술후통동경、출혈소、미용、복강간우경、충세철저、장도배기조、회복쾌급감염병발증소，병겸고명학진단여치료등우점，병차안전가고，조작간단，편우재기층의원추엄。
To investigate the repair safety,feasibility and efficacy of gastric ulcer perforation in the primary hospital laparoscopic.Method:The clinical data of 65 cases of laparoscopic repair of acute perforated gastric ulcer from January 2006 to January 2014 were retrospectively analyzed.Result:64 patients under laparoscopic repair were successful,one case of duodenal perforation after ball completed laparotomy due to operational difficulties,laparoscopic surgical repair time was(65±25)min,hospital stay after surgery was(7±2)d.All patients had no further leakage after repair failure,bleeding,infection of the abdominal cavity and puncture holes,and adhesions gastroduodenal obstruction obstruction or other complications,and all were primary healing,patients were cured and were given gastroenterology standard treatment after discharge.Conclusion:Laparoscopic repair of acute perforated gastric ulcer have little surgical trauma,light postoperative pain,less bleeding,beauty,light abdominal interference,wash thoroughly, early intestinal exhaust,rapid recovery and less concurrent infection disease,and definite diagnosis and treatment,etc. It is safe,reliable,simple operation,it is easy to popularize in primary hospitals.
