CAJ | 학술논문

目的：比较腹腔镜与开腹手术治疗胃十二指肠穿孔的临床疗效。方法将138例胃十二指肠穿孔患者按手术方式的不同分为2组，腹腔镜组（68例）行腹腔镜下胃十二指肠穿孔修补术；开腹组（70例）行开腹胃十二指肠穿孔修补术。对2组患者手术时间、术后镇痛剂使用率、胃肠功能恢复时间、住院时间、并发症发生率等进行比较。结果腹腔镜组术后胃肠功能恢复时间、住院时间均明显短于开腹组，术后镇痛剂使用率明显低于开腹组（均 P ＜0．05）；2组手术时间比较差异无统计学意义（P ＞0．05）。腹腔镜组术后并发症发生率为2．94％，开腹组术后并发症发生率为12．85％，2组比较差异有统计学意义（P ＜0．05）。结论腹腔镜下胃十二指肠穿孔修补术具有创伤小、恢复快、痛苦少、住院时间短及并发症少等优势，是治疗胃十二指肠穿孔的理想术式。
목적：비교복강경여개복수술치료위십이지장천공적림상료효。방법장138례위십이지장천공환자안수술방식적불동분위2조，복강경조（68례）행복강경하위십이지장천공수보술；개복조（70례）행개복위십이지장천공수보술。대2조환자수술시간、술후진통제사용솔、위장공능회복시간、주원시간、병발증발생솔등진행비교。결과복강경조술후위장공능회복시간、주원시간균명현단우개복조，술후진통제사용솔명현저우개복조（균 P ＜0．05）；2조수술시간비교차이무통계학의의（P ＞0．05）。복강경조술후병발증발생솔위2．94％，개복조술후병발증발생솔위12．85％，2조비교차이유통계학의의（P ＜0．05）。결론복강경하위십이지장천공수보술구유창상소、회복쾌、통고소、주원시간단급병발증소등우세，시치료위십이지장천공적이상술식。
Objective To compare the clinical effects of laparoscopic and open surgery on gas-troduodenal perforation.Methods A total of 138 patients with gastroduodenal perforation were randomly assigned to receive either laparoscopic repair of perforated gastroduodenal ulcer(68 pa-tients)or open repair of perforated gastroduodenal ulcer(70 patients).The operative time,post-operative analgesic usage,time to recovery of gastrointestinal function,hospital stay and incidence of complications were compared between the two groups.Results Compared with open group,the time to recovery of gastrointestinal function and length of hospital stay were shortened and the postoperative analgesic usage was reduced in laparoscopic group(P <0.05).Furthermore,the inci-dence of complications in laparoscopic group was lower than that in open group (2.94% vs 12.85%,P <0.05).There was no significant difference in the operative time between the two groups(P >0.05).Conclusion Laparoscopic repair is ideal for gastroduodenal perforation and of-fers the advantages of smaller trauma,quicker recovery,less pain,shorter hospital stay and fewer complications.