CAJ | 학술논문

目的比较腹腔镜和开腹胃十二指肠溃疡穿孔修补术的安全性和疗效.方法 93例胃十二指肠溃疡穿孔患者中,行腹腔镜胃十二指肠溃疡穿孔修补术54例,开腹胃十二指肠溃疡穿孔修补术39例,比较两组患者围手术期情况.结果两组患者均未发生术后死亡,腹腔镜组有2例中转开腹手术.腹腔镜组手术时间长于开腹组[(74.85±15.80) min比(62.97±12.14) min],差异有统计学意义(P＜0.01).腹腔镜组和开腹组术后胃管留置时间、住院时间、并发症发生率比较差异均无统计学意义(P＞0.05).腹腔镜组术后镇痛率低于开腹组[20.4％(11/54)比74.4％(29/39)],差异有统计学意义(P＜0.01).结论腹腔镜下修补胃十二指肠溃疡穿孔有效、安全,具有较高的应用价值.
목적 비교복강경화개복위십이지장궤양천공수보술적안전성화료효.방법 93례위십이지장궤양천공환자중,행복강경위십이지장궤양천공수보술54례,개복위십이지장궤양천공수보술39례,비교량조환자위수술기정황.결과 량조환자균미발생술후사망,복강경조유2례중전개복수술.복강경조수술시간장우개복조[(74.85±15.80) min비(62.97±12.14) min],차이유통계학의의(P＜0.01).복강경조화개복조술후위관류치시간、주원시간、병발증발생솔비교차이균무통계학의의(P＞0.05).복강경조술후진통솔저우개복조[20.4％(11/54)비74.4％(29/39)],차이유통계학의의(P＜0.01).결론 복강경하수보위십이지장궤양천공유효、안전,구유교고적응용개치.
Objective To compare the safety and therapeutic effect between laparoscope and open neoplasty of gastroduodenal ulcer perforated.Methods Among 93 patients with gastroduodenal ulcer perforated,54 patients were given laparoscope neoplasty of gastroduodenal ulcer perforated (laparoscope group),39 patients were given open neoplasty of gastroduodenal ulcer perforated (open group).The informations during the period of operation in the 2 groups were compared.Results There was no death in the 2 groups,2 cases in laparoscope group converted to open operation.The operation time of laparoscope group was significantly longer than that of open group [(74.85 ± 15.80) min vs.(62.97 ± 12.14) min],there was statistical difference (P ＜ 0.01).There were no statistical differences in the time of postoperative indwelling gastric tube,hospitalization time and complication rate between the 2 groups (P ＞ 0.05).The rate of postoperative analgesia of laparoscope group was significantly lower than that of open group [20.4％ (11/54) vs.74.4％ (29/39)],there was statistical difference (P ＜ 0.01).Conclusion Laparoscope neoplasty of gastroduodenal ulcer perforated is effective and safe,and has high application value.