CAJ | 학술논문

目的：探讨腹腔镜手术治疗急性胃十二指肠溃疡穿孔的临床疗效。方法：收治急性胃十二指肠溃疡穿孔患者50例，随机分为观察组和对照组，各25例。对照组应用传统开腹手术治疗，观察组应用腹腔镜手术治疗，比较两组的术中出血量、术后肛门排气时间、住院时间及术后并发症情况。结果：治疗后观察组的术中出血量少于对照组(P＜0.05)；观察组术后肛门排气时间、住院时间明显短于对照组(P＜0.05)；治疗结束时观察组并发症少于对照组(P＜0.05)。结论：腹腔镜手术治疗急性胃十二指肠溃疡穿孔临床效果良好，能减少出血、缩短住院时间，避免并发症。
목적：탐토복강경수술치료급성위십이지장궤양천공적림상료효。방법：수치급성위십이지장궤양천공환자50례，수궤분위관찰조화대조조，각25례。대조조응용전통개복수술치료，관찰조응용복강경수술치료，비교량조적술중출혈량、술후항문배기시간、주원시간급술후병발증정황。결과：치료후관찰조적술중출혈량소우대조조(P＜0.05)；관찰조술후항문배기시간、주원시간명현단우대조조(P＜0.05)；치료결속시관찰조병발증소우대조조(P＜0.05)。결론：복강경수술치료급성위십이지장궤양천공림상효과량호，능감소출혈、축단주원시간，피면병발증。
Objective:To discuss the clinical effect of laparoscopic surgery for acute gastric ulcer perforation.Methodds:50 patients with acute gastric ulcer perforation were selected.They were randomly divided into the observation group and the control group,each of 25 cases.The control group were treated with the traditional open operation.The observation group were treated with laparoscopic operation.The amount of bleeding,postoperative anal exhaust time,hospitalization time and postoperative complications were compared between the two groups.Results:The amount of bleeding in the observation group was less than that of the control group(P<0.05).The postoperative anal exhaust time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05).At the end of treatment of complications in the observation group was less than the control group(P<0.05).Conclusion:The clinical effect of laparoscopic surgery for acute gastric ulcer perforation is outstanding.It can reduce the bleeding,shorten the hospital stay,avoid complications.