中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2013年
12期
16
,共1页
腹腔镜手术%胃十二指肠急性穿孔%开腹手术%引流量
腹腔鏡手術%胃十二指腸急性穿孔%開腹手術%引流量
복강경수술%위십이지장급성천공%개복수술%인류량
Laparoscopic surgery%Acute gastroduodenal perforation%Laparotomy%Drainage volume
目的:观察对比腹腔镜胃十二指肠溃疡穿孔修补术与开腹手术两种不同手术方法的临床效果,以指导临床应用.方法:选择2010年1月-2012年1月在笔者所在医院行腹腔镜胃十二指肠溃疡穿孔修补术患者36例(A组),另选择同期行开腹手术治疗的胃十二指肠溃疡穿孔患者32例(B组),对比分析两组的手术时间、住院时间、引流量、排气时间、术后并发症.结果:两组手术时间、排气时间、住院时间对比,差异有统计学意义(P<0.05).两组术中、术后不同时间引流量对比,差异有统计学意义(P<0.05).术后B组发生腹腔脓肿2例,粘连性肠梗阻1例,A组无一例中转开腹,术后无一例发生切口感染、粘连性梗阻及腹腔内感染.结论:腹腔镜胃十二指肠溃疡穿孔修补术的手术效果明显优于开腹手术,值得广泛推广和应用.
目的:觀察對比腹腔鏡胃十二指腸潰瘍穿孔脩補術與開腹手術兩種不同手術方法的臨床效果,以指導臨床應用.方法:選擇2010年1月-2012年1月在筆者所在醫院行腹腔鏡胃十二指腸潰瘍穿孔脩補術患者36例(A組),另選擇同期行開腹手術治療的胃十二指腸潰瘍穿孔患者32例(B組),對比分析兩組的手術時間、住院時間、引流量、排氣時間、術後併髮癥.結果:兩組手術時間、排氣時間、住院時間對比,差異有統計學意義(P<0.05).兩組術中、術後不同時間引流量對比,差異有統計學意義(P<0.05).術後B組髮生腹腔膿腫2例,粘連性腸梗阻1例,A組無一例中轉開腹,術後無一例髮生切口感染、粘連性梗阻及腹腔內感染.結論:腹腔鏡胃十二指腸潰瘍穿孔脩補術的手術效果明顯優于開腹手術,值得廣汎推廣和應用.
목적:관찰대비복강경위십이지장궤양천공수보술여개복수술량충불동수술방법적림상효과,이지도림상응용.방법:선택2010년1월-2012년1월재필자소재의원행복강경위십이지장궤양천공수보술환자36례(A조),령선택동기행개복수술치료적위십이지장궤양천공환자32례(B조),대비분석량조적수술시간、주원시간、인류량、배기시간、술후병발증.결과:량조수술시간、배기시간、주원시간대비,차이유통계학의의(P<0.05).량조술중、술후불동시간인류량대비,차이유통계학의의(P<0.05).술후B조발생복강농종2례,점련성장경조1례,A조무일례중전개복,술후무일례발생절구감염、점련성경조급복강내감염.결론:복강경위십이지장궤양천공수보술적수술효과명현우우개복수술,치득엄범추엄화응용.
Objective:To observe and contrast the efficacy of laparoscopic gastric ulcer perforation repair and open surgery,in order to guide the clinical application.Methods:From January 2010 to January 2012 in our hospital laparoscopic gastric ulcer perforation repair in 36 patients (A group),and other select underwent laparotomy gastric ulcer perforation in 32 patients (B group),the operative time,hospital stay,drainage,exhaust time,post-operative complications were analysed in two groups.Results:The operative time,exhaust time,hospital stay time in A group were less than B group,the difference was statistically significant(P<0.05),the difference about intraoperative and postoperative drainage volume were statistically significant in both groups(P<0.05).There were two cases of abdominal abscess and one cases of intestinal obstruction in B group.There were no case for laparotomy and no case of postoperative wound infection,adhesions obstruction and intra-abdominal infections in A group.Conclusion:Laparoscopic gastric ulcer perforation repair effect of surgery is superior to open surgery, should be popularized and applied.