CAJ | 학술논문

目的：对两种胃十二指肠溃疡穿孔修补方法进行比较，为临床提供参考。方法选择来胶州市人民医院接受治疗的176例胃十二指肠溃疡穿孔患者，根据患者本人及家属意愿分别选择腹腔镜手术治疗和开腹治疗。观察两组手术时间、出血量、切口大小和术后镇痛次数、术后肠蠕动恢复时间、并发症和住院时间。结果腹腔镜组手术时间明显长于开腹组，差异有统计学意义（P﹤0.05）。腹腔镜组出血量、切口尺寸、镇痛次数、肠蠕动恢复时间、并发症发生率和住院时间明显低于开腹组，差异有统计学意义（P﹤0.05）。腹腔镜组切口感染、肺部感染发生率和肠粘连发生率明显低于开腹组，差异有统计学意义（P﹤0.05）。结论与开腹手术比较，腹腔镜胃十二指肠溃疡穿孔修补术具有更好的疗效，是一种安全有效的手术方法。
목적：대량충위십이지장궤양천공수보방법진행비교，위림상제공삼고。방법선택래효주시인민의원접수치료적176례위십이지장궤양천공환자，근거환자본인급가속의원분별선택복강경수술치료화개복치료。관찰량조수술시간、출혈량、절구대소화술후진통차수、술후장연동회복시간、병발증화주원시간。결과복강경조수술시간명현장우개복조，차이유통계학의의（P﹤0.05）。복강경조출혈량、절구척촌、진통차수、장연동회복시간、병발증발생솔화주원시간명현저우개복조，차이유통계학의의（P﹤0.05）。복강경조절구감염、폐부감염발생솔화장점련발생솔명현저우개복조，차이유통계학의의（P﹤0.05）。결론여개복수술비교，복강경위십이지장궤양천공수보술구유경호적료효，시일충안전유효적수술방법。
Objective To compare the efficacy of laparoscopy and laparotomy on gastroduodenal ulcer perforation,and provide references for clinics. Methods The 176 patients with gastroduodenal ul-cer perforation were divided into the laparoscopic group and laparotomy group,according to the wills of the patients or their family members. The operative time,intra-operative blood loss,incision size,inci-dence of complications,postoperative recovery time of bowl function,hospital stay were observed. Re-sults The operative time was significantly longer in laparoscopic group than that in laparotomy group, there was significant difference(P﹤0. 05). The intraoperative blood loss,incision size,the postopera-tive recovery time of intestinal peristalsis,incidence of complications and hospital stay were significantly lower in laparoscopic group than that in laparotomy group,there were significant differences(P﹤0. 05). The incidences of wound infection,pulmonary infection and laparoscopic intestinal viscosity were signifi-cantly lower in laparoscopic group than those in laparotomy group,there were significant differences( P﹤0. 05). Conclusions Compared with the laparotomy,the laparoscopic repairment of gastroduodenal ul-cer perforation has better effect,and is one safe and effective surgery method.