中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
43-44
,共2页
腹腔镜%开腹%穿孔修补术%胃十二指肠溃疡穿孔
腹腔鏡%開腹%穿孔脩補術%胃十二指腸潰瘍穿孔
복강경%개복%천공수보술%위십이지장궤양천공
Laparoscope%Open%Perforation repair%Gastroduodenal ulcer perforation
目的：探讨腹腔镜手术与开腹穿孔修补术在胃十二指肠溃疡穿孔治疗中效果对比。方法该院2009年11月-2014年11月共收治胃十二指肠溃疡穿孔86例，随机分为对照组和观察组，对照组采用开腹十二指肠溃疡穿孔修补术治疗；观察组采用腹腔镜胃十二指肠溃疡穿孔修补术。比较两组患者的手术时间、术中出血量等及术后并发症情况。结果观察组术中出血量(5.8±1.3)mL、住院时间(5.2±1.1)d显著少于对照组(16.3±2.5)mL、(8.5±1.2)d，胃肠道功能恢复时间(2.1±0.6)d显著早于对照组(3.3±1.0)d，观察组治疗过程中并发症发生率(4.7%)显著低于对照组(23.3%)，差异有统计学意义(P<0.05)。结论腹腔镜胃十二指肠溃疡穿孔较开腹手术术中出血量少，住院时间短，胃肠道功能恢复时间短，术后并发症发生率低，为治疗胃十二指肠溃疡穿孔的较好术式，值得临床推广应用。
目的：探討腹腔鏡手術與開腹穿孔脩補術在胃十二指腸潰瘍穿孔治療中效果對比。方法該院2009年11月-2014年11月共收治胃十二指腸潰瘍穿孔86例，隨機分為對照組和觀察組，對照組採用開腹十二指腸潰瘍穿孔脩補術治療；觀察組採用腹腔鏡胃十二指腸潰瘍穿孔脩補術。比較兩組患者的手術時間、術中齣血量等及術後併髮癥情況。結果觀察組術中齣血量(5.8±1.3)mL、住院時間(5.2±1.1)d顯著少于對照組(16.3±2.5)mL、(8.5±1.2)d，胃腸道功能恢複時間(2.1±0.6)d顯著早于對照組(3.3±1.0)d，觀察組治療過程中併髮癥髮生率(4.7%)顯著低于對照組(23.3%)，差異有統計學意義(P<0.05)。結論腹腔鏡胃十二指腸潰瘍穿孔較開腹手術術中齣血量少，住院時間短，胃腸道功能恢複時間短，術後併髮癥髮生率低，為治療胃十二指腸潰瘍穿孔的較好術式，值得臨床推廣應用。
목적：탐토복강경수술여개복천공수보술재위십이지장궤양천공치료중효과대비。방법해원2009년11월-2014년11월공수치위십이지장궤양천공86례，수궤분위대조조화관찰조，대조조채용개복십이지장궤양천공수보술치료；관찰조채용복강경위십이지장궤양천공수보술。비교량조환자적수술시간、술중출혈량등급술후병발증정황。결과관찰조술중출혈량(5.8±1.3)mL、주원시간(5.2±1.1)d현저소우대조조(16.3±2.5)mL、(8.5±1.2)d，위장도공능회복시간(2.1±0.6)d현저조우대조조(3.3±1.0)d，관찰조치료과정중병발증발생솔(4.7%)현저저우대조조(23.3%)，차이유통계학의의(P<0.05)。결론복강경위십이지장궤양천공교개복수술술중출혈량소，주원시간단，위장도공능회복시간단，술후병발증발생솔저，위치료위십이지장궤양천공적교호술식，치득림상추엄응용。
[Abstrac] Objective To study the effect comparison of laparoscopic surgery and laparotomy perforation repair in the treatment of the gastroduodenal ulcer perforation. Methods 86 cases of gastroduodenal ulcer perforation were randomly divided into control group and observation group, control group adopts open for the treatment of duodenal ulcer perforation repair; observation group with laparoscopic gastroduodenal ulcer perforation repair. Compared the operation time, the amount of bleeding during operation, etc. and postoperative complications of the two groups. Results Observation group (5.8±1.3)mL, length of hospital stay (5.2±1.1)d significantly less than the control group (16.3±2.5)mL, (8.5±1.2)d, gastrointestinal function recovery time (2.1±0.6)d significantly earlier than the control group (3.3±1.0)d, observation group therapy complications (4.7%) was significantly lower than the control group (23.3%), the difference was statistically significant (P< 0.05). Conclusion Laparoscopic gastroduodenal ulcer perforation is less than laparotomy intraoperative blood loss, shorter hospitalization time, gastrointestinal function recovery time is short, low inci-dence of postoperative complications, for the good operation for treatment of gastroduodenal ulcer perforation, which is worthy of clinical popularization and application.
