CAJ | 학술논문

目的：比较腹腔镜与开腹上消化道溃疡穿孔修补术的治疗效果，探讨两种手术方式的临床应用价值。方法选择2010年1月～2014年1月收治的上消化道溃疡穿孔患者共72例，随机分为腹腔镜手术组38例，开腹手术组34例，观察并记录两组患者手术时间、术后引流量、排气时间、术后并发症等资料并进行比较。结果腹腔镜组患者手术时间为（55.1±7.7）h、术中出血量为（14.2±3.8）mL、排气时间为（22.3±6.9）h，开腹组患者手术时间为（83.5±13.2）h、术中出血量为（33.7±5.4）mL、排气时间为（63.7±16.6）h，两组差异具有统计学意义（P＜0.05）。腹腔镜组患者术后并发症的发生率为5.3％，明显低于开腹组组患者的29.4％，差异具有统计学意义（P＜0.05）。结论相比开腹手术，腹腔镜上消化道溃疡穿孔修补术具有操作简单、创伤小、术后康复快等优势，值得临床推广应用。
목적：비교복강경여개복상소화도궤양천공수보술적치료효과，탐토량충수술방식적림상응용개치。방법선택2010년1월～2014년1월수치적상소화도궤양천공환자공72례，수궤분위복강경수술조38례，개복수술조34례，관찰병기록량조환자수술시간、술후인류량、배기시간、술후병발증등자료병진행비교。결과복강경조환자수술시간위（55.1±7.7）h、술중출혈량위（14.2±3.8）mL、배기시간위（22.3±6.9）h，개복조환자수술시간위（83.5±13.2）h、술중출혈량위（33.7±5.4）mL、배기시간위（63.7±16.6）h，량조차이구유통계학의의（P＜0.05）。복강경조환자술후병발증적발생솔위5.3％，명현저우개복조조환자적29.4％，차이구유통계학의의（P＜0.05）。결론상비개복수술，복강경상소화도궤양천공수보술구유조작간단、창상소、술후강복쾌등우세，치득림상추엄응용。
Objective Digestive tract ulcer perforation repalr of the therapeutic effect of laparoscopic and open on the two kinds of operation mode, explore the value of clinical application. Methods A total of 72 patients with perforation of digestive ulcer in 2010 January to 2014 January were selected on, were randomly divided into laparoscopic operation group 38 cases, 34 cases of abdominal operation group, observe and record the two groups of patients with operation time, postoperative dralnage, exhaust time, postoperative complications and other data and comparison. Results The operation time for patients in the laparoscopic group(55.1±7.7)h, the amount of hemorrhage of(14.2±3.8)mL, the exhaust time of (22.3±6.9)h, the open group in operation time for(83.5±13.2)h, the amount of hemorrhage of(33.7±5.4)mL, time (63.7±16.6)h, with a significant difference between two groups(P<0.05). Patients in the laparoscopic group the incidence of postoperative complications was 5.3%, significantly lower than the open group of 29.4% patients, with significant difference(P < 0.05). Conclusion Compared with open operation, ulcer perforation repalr has the advantages of simple operation, less trauma, faster postoperative recovery and other advantages of laparoscopic upper digestive, worthy of clinical application.