CAJ | 학술논문

目的：对比分析腹腔镜胃十二指肠穿孔修补术与传统开腹胃十二指肠穿孔修补术的临床疗效。方法将2011年6月至2013年6月笔者所在医院及佛山市第一人民医院收治的胃十二指肠穿孔的患者根据完成的手术分为腹腔镜穿孔修补治疗组与传统开腹修补治疗组，对比分析两组患者的手术时间、术后肛门排气时间、术后镇痛药物使用率、术后住院时间、术后并发症等指标。结果腔镜组完成35例，开腹组完成31例；两组患者均顺利完成手术治愈出院，腹腔镜组无中转开腹手术的病例。开腹组在手术时间低于腹腔镜组（P＜0．05），腹腔镜组在住院时间、术后排气时间、术后镇痛药使用率及并发症发生等方面明显低于开腹组（P＜0．05）。结论腹腔镜胃十二指肠穿孔修补较开腹手术有明显优势，术后疼痛轻、腹部创伤小、恢复快，值得临床推广。
목적：대비분석복강경위십이지장천공수보술여전통개복위십이지장천공수보술적림상료효。방법장2011년6월지2013년6월필자소재의원급불산시제일인민의원수치적위십이지장천공적환자근거완성적수술분위복강경천공수보치료조여전통개복수보치료조，대비분석량조환자적수술시간、술후항문배기시간、술후진통약물사용솔、술후주원시간、술후병발증등지표。결과강경조완성35례，개복조완성31례；량조환자균순리완성수술치유출원，복강경조무중전개복수술적병례。개복조재수술시간저우복강경조（P＜0．05），복강경조재주원시간、술후배기시간、술후진통약사용솔급병발증발생등방면명현저우개복조（P＜0．05）。결론복강경위십이지장천공수보교개복수술유명현우세，술후동통경、복부창상소、회복쾌，치득림상추엄。
Objective To compare the clinical efficacy of laparoscopoic gastroduodenal perforation repair and traditional open gastroduodenal perforation repair. Methods This was a prospective study in patients with gastroduodenal perforation in our hospital from June 2011 to June 2013. Thirty-five cases underwent laparoscopoic gastroduodenal perforation repair (laparoscopic group) and 31 received open gastroduodenal perforation repair (control group). The length of hospital stay, operative time,.anal exhaust time,..postoperative usage rate of analgesic drugs and incidence of postoperative complications were analyzed comparatively between two groups. Results All surgical procedures in both group were completed successfully and patients were cured. .No case in the laparoscopic group transferred to open operation..Except the average operative time in laparoscopic group was longer than the control group , the length of hospital stay , anal exhaust time , postoperative usage rate of analgesic drugs and incidence of postoperative complications in laparoscopic group were lower than that of the control group. Conclusion Laparoscopic approach in the treatment of gastroduodenal perforation has better clinical effect than open gastroduodenal perforation repair.