中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
26期
124-126
,共3页
腹腔镜修补术%胃及十二指肠穿孔%临床效果
腹腔鏡脩補術%胃及十二指腸穿孔%臨床效果
복강경수보술%위급십이지장천공%림상효과
Laparoscopic herniorrhaphy%Gastric and duodenal perforation%Clinical effects
目的：探讨腹腔镜修补术治疗胃及十二指肠穿孔的临床效果。方法：收集2012年4月-2015年3月本院收治的128例胃及十二指肠穿孔患者的临床资料。按照临床治疗方法将患者分为试验组和对照组，每组各64例。对照组采取传统开腹手术治疗，试验组采取腹腔镜修补术治疗。观察并比较两组患者的手术时间、术中出血量、术后首次肛门排气时间、术后住院时间、术后并发症发生情况、术后复发情况、术后体温异常情况。结果：试验组的手术时间长于对照组，两组比较差异有统计学意义（P<0.05）；试验组的术中出血量、术后首次肛门排气时间、术后住院时间均低于对照组，两组比较差异均有统计学意义（P<0.05）。试验组的术后并发症发生率为9.38%，低于对照组的28.13%，两组比较差异有统计学意义（P<0.05）。试验组的术后体温异常率、复发率低于对照组，两组比较差异均有统计学意义（P<0.05）。结论：腹腔镜修补术治疗胃及十二指肠穿孔的临床效果较好，可有效缩短患者术后首次肛门排气时间、术后住院时间，减少术中出血量，降低术后并发症，但手术时间较长。
目的：探討腹腔鏡脩補術治療胃及十二指腸穿孔的臨床效果。方法：收集2012年4月-2015年3月本院收治的128例胃及十二指腸穿孔患者的臨床資料。按照臨床治療方法將患者分為試驗組和對照組，每組各64例。對照組採取傳統開腹手術治療，試驗組採取腹腔鏡脩補術治療。觀察併比較兩組患者的手術時間、術中齣血量、術後首次肛門排氣時間、術後住院時間、術後併髮癥髮生情況、術後複髮情況、術後體溫異常情況。結果：試驗組的手術時間長于對照組，兩組比較差異有統計學意義（P<0.05）；試驗組的術中齣血量、術後首次肛門排氣時間、術後住院時間均低于對照組，兩組比較差異均有統計學意義（P<0.05）。試驗組的術後併髮癥髮生率為9.38%，低于對照組的28.13%，兩組比較差異有統計學意義（P<0.05）。試驗組的術後體溫異常率、複髮率低于對照組，兩組比較差異均有統計學意義（P<0.05）。結論：腹腔鏡脩補術治療胃及十二指腸穿孔的臨床效果較好，可有效縮短患者術後首次肛門排氣時間、術後住院時間，減少術中齣血量，降低術後併髮癥，但手術時間較長。
목적：탐토복강경수보술치료위급십이지장천공적림상효과。방법：수집2012년4월-2015년3월본원수치적128례위급십이지장천공환자적림상자료。안조림상치료방법장환자분위시험조화대조조，매조각64례。대조조채취전통개복수술치료，시험조채취복강경수보술치료。관찰병비교량조환자적수술시간、술중출혈량、술후수차항문배기시간、술후주원시간、술후병발증발생정황、술후복발정황、술후체온이상정황。결과：시험조적수술시간장우대조조，량조비교차이유통계학의의（P<0.05）；시험조적술중출혈량、술후수차항문배기시간、술후주원시간균저우대조조，량조비교차이균유통계학의의（P<0.05）。시험조적술후병발증발생솔위9.38%，저우대조조적28.13%，량조비교차이유통계학의의（P<0.05）。시험조적술후체온이상솔、복발솔저우대조조，량조비교차이균유통계학의의（P<0.05）。결론：복강경수보술치료위급십이지장천공적림상효과교호，가유효축단환자술후수차항문배기시간、술후주원시간，감소술중출혈량，강저술후병발증，단수술시간교장。
Objective:To explore the clinical effects of gastric and duodenal perforation by laparoscopic herniorrhaphy.Method:128 patients with gastric and duodenal perforation in our hospital were selected from April 2012 to March 2015,they were divided into the experiment group and the control group,64 cases in each group. The control group was treated by traditional laparotomy, the experiment group was treated by laparoscopic herniorrhaphy.The operation time, intraoperatve blood soss, postoperative anal exhaust time for the first time, post operation hospitalization duration, postoperative complication, postoperative recurrence and abnormal body temperature of two groups were compared. Result:The operation time of the experiment group was longer than the control group, the difference was statistically significant(P<0.05).The intraoperatve blood soss, postoperative anal exhaust time for the first time and post operation hospitalization duration of the experiment group were lower than the control group, the differences were statistically significant(P<0.05).The postoperative complication of experiment group was 9.38%,which was lower than 28.13%of the control group, the difference was statistically significant(P<0.05).The postoperative recurrence and abnormal body temperature of experiment group were lower than the control group,the differences were statistically significant (P<0.05).Conclusion:It has good clinical effects for the patients with gastric and duodenal perforation by laparoscopic herniorrhaphy, it can reduce the intraoperatve blood soss, postoperative anal exhaust time for the first time, post operation hospitalization duration and postoperative complication, but it takes longer operation time.
