腹腔镜与开腹手术治疗老年消化性溃疡急性穿孔的对比研究

目的:比较腹腔镜与开腹手术治疗老年患者消化性溃疡急性穿孔的临床效果。方法:比较腹腔镜与开腹两种手术治疗52例老年患者消化性溃疡穿孔的疗效,两种术式的手术时间、术后下床活动时间、术后排气时间、术后止痛药使用率、术后并发症发生率、住院时间等影响因素。结果:两种手术的各项指标均有显著差异(P<0.05或P<0.01)。结论:腹腔镜手术修补具有患者创伤小、康复快、并发症少、住院时间短等优点,是治疗老年消化性溃疡急性穿孔较为理想的手术方式。

Comparative study on aged with peptic ulcer perforation treated with laparoscopy or laparotomy

Objective:To compare the effect of laparoscopy and laparotomy for acute perforation of peptic ulcer.Methods:Fifty-two cases with acute perforation of peptic ulcer performed repaired operation were analysed,24 cases were treated by laparoscopy,28 cases were treated by laparotomy.Two methods were compared in operative time,the time of leaving bed to move after operation,discharge gas time after operation,rate of complication postoperation,hospitalization.Results:All indexes were significantly different between laparoscopy and laparotomy(P<0.05).Conclusions:Repair by laparoscopy has many advantages:less invasive,rapid recovery,less complication,short time in hospital.So it's an ideal method to treat peptic ulcer acute perforation of aged.