中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
1期
38-39
,共2页
胃十二指肠溃疡%溃疡穿孔修补术%腹腔镜
胃十二指腸潰瘍%潰瘍穿孔脩補術%腹腔鏡
위십이지장궤양%궤양천공수보술%복강경
Gastric or duodenal ulcer%Ulcer perforation repair%Laparoscope
目的：观察腹腔镜与开腹行胃十二指肠溃疡穿孔修补术的临床疗效。方法：回顾性分析2012年2月-2014年5月收治胃十二指肠溃疡穿孔患者75例的临床资料，其中38例行腹腔镜胃十二指肠溃疡穿孔修补术(腹腔镜组)，37例行胃十二指肠溃疡穿孔修补术(开腹组)，观察两组术中、术后一般指标、术后肠道功能恢复时间及术后并发症发生率等。结果：腹腔镜组手术时间、住院时间、胃肠功能恢复时间及下床活动时间均短于开腹组，具有统计学意义(P＜0.05)。腹腔镜组并发症发生率5.26%(2/38)，开腹组并发症发生率24.32%(9/37)，两组并发症发生率比较差异具有统计学意义(χ2=4.03，P＜0.05)。腹腔镜组术后VAS评分明显低于开腹组(t=9.50，P＜0.05)。结论：腹腔镜胃十二指肠溃疡穿孔修补术相对传统开腹手术具有手术时间短、恢复快、并发症发生率低等优点，是一种安全有效的治疗方案。
目的：觀察腹腔鏡與開腹行胃十二指腸潰瘍穿孔脩補術的臨床療效。方法：迴顧性分析2012年2月-2014年5月收治胃十二指腸潰瘍穿孔患者75例的臨床資料，其中38例行腹腔鏡胃十二指腸潰瘍穿孔脩補術(腹腔鏡組)，37例行胃十二指腸潰瘍穿孔脩補術(開腹組)，觀察兩組術中、術後一般指標、術後腸道功能恢複時間及術後併髮癥髮生率等。結果：腹腔鏡組手術時間、住院時間、胃腸功能恢複時間及下床活動時間均短于開腹組，具有統計學意義(P＜0.05)。腹腔鏡組併髮癥髮生率5.26%(2/38)，開腹組併髮癥髮生率24.32%(9/37)，兩組併髮癥髮生率比較差異具有統計學意義(χ2=4.03，P＜0.05)。腹腔鏡組術後VAS評分明顯低于開腹組(t=9.50，P＜0.05)。結論：腹腔鏡胃十二指腸潰瘍穿孔脩補術相對傳統開腹手術具有手術時間短、恢複快、併髮癥髮生率低等優點，是一種安全有效的治療方案。
목적：관찰복강경여개복행위십이지장궤양천공수보술적림상료효。방법：회고성분석2012년2월-2014년5월수치위십이지장궤양천공환자75례적림상자료，기중38례행복강경위십이지장궤양천공수보술(복강경조)，37례행위십이지장궤양천공수보술(개복조)，관찰량조술중、술후일반지표、술후장도공능회복시간급술후병발증발생솔등。결과：복강경조수술시간、주원시간、위장공능회복시간급하상활동시간균단우개복조，구유통계학의의(P＜0.05)。복강경조병발증발생솔5.26%(2/38)，개복조병발증발생솔24.32%(9/37)，량조병발증발생솔비교차이구유통계학의의(χ2=4.03，P＜0.05)。복강경조술후VAS평분명현저우개복조(t=9.50，P＜0.05)。결론：복강경위십이지장궤양천공수보술상대전통개복수술구유수술시간단、회복쾌、병발증발생솔저등우점，시일충안전유효적치료방안。
Objective:To observe the curative effect of laparoscopic repair and laparotomy surgery in the treatment of gastric or duodenal ulcer.Methods:The clinical data of 75 cases with gastric or duodenal ulcer from February 2012 to May 2014 were analyzed retrospectively.38 cases were treated with laparoscopic repair in perforated gastric or duodenal ulcer(the laparoscope group).37 cases were treated with laparotomy gastric or duodenal ulcer perforation repair(the open group).We observed the intraoperative and postoperative general index,the recovery time of the postoperative intestinal function and the incidence of postoperative complications and etc in the two groups.Results:The operation time,the hospitalization time,the recovery time of the postoperative intestinal function and the leaving bed time in the laparoscopic group were all shorter than those of the open group, and there were statistical significant differences(P<0.05).The incidence of postoperative complications in the laparoscopic group was 5.26% (2/38);that of the open group was 24.32% (9/37);there was statistical significant difference( χ 2=4.03,P<0.05).The postoperative VAS scores of the laparoscopic patients were significantly lower than that of the open group(t=9.50,P<0.05). Conclusion:Laparoscopic repair in perforated gastric or duodenal ulcer has the advantages of shorter surgery time,quick recovery and lower complication rates comparing with the traditional laparotomy,which is a kind of safe and effective treatment.
