摘要
目的观察腹腔镜行胃十二指肠修补术的临床疗效及术后并发症发生率。方法将收治的62例胃十二指肠溃疡穿孔患者,随机分为观察组(行腹腔镜修补术)32例与对照组(行常规开腹修补术)30例,结合各项观察指标比较两组的治疗效果。结果对比同期行常规开腹修补术的对照组,观察组在手术时间、肠功能恢复时间、住院时间上明显缩短,术中出血量明显减少,差异有统计学意义(P<0.05);而两组术后并发症比较,观察组32例患者术后并发症3例,发生率为9.38%,对照组30例患者并发症8例,发生率为26.67%,两组比较差异显著(P<0.05),两组患者术后均无感染性休克、肺部感染等严重并发症,无死亡病例。结论对比传统开腹修补术,腹腔镜胃十二指肠溃疡穿孔修补术具有创伤小、术后康复快、并发症少等优点,是治疗胃十二指肠溃疡穿孔较为理想的术式。
Objective To observe the clinical efficacy of gastric ulcer perforation neoplasty under laparoscope. Methods 62 cases of gastroduodenal ulcer perforation patients were included, they were randomly divided into 2 groups including 32 cases of laparoscopic neoplasty （observation group） and 30 cases of tradition open neoplasty （control group）. The clinical efficacy of these 2 groups were compared. Results Compared to the control group, observation group had significantly shortened the time of the surgery, recovery of bowel function and hospitalization; the amount of bleeding during the operation was significantly reduced （P〈0. 05）. Complications occurred in 3 cases of observation group （9. 38%） and in 8 cases of the control group （26.67%）. Difference between the 2 groups was significant （P〈0.05）. Conclusion Compared to the traditional open neoplasty, laparoscopic neoplasty treated patients with gastric ulcer perforation with less trauma, faster postoperative rehabilitation and fewer complications. Laparoscopic neoplasty is a better treatment on gastric ulcer perforation.
出处
《西部医学》
2013年第4期523-524,527,共3页
Medical Journal of West China
