腹腔镜在急性胃十二指肠穿孔修补术中应用体会

目的探讨腹腔镜下行急性胃十二指肠穿孔修补术的疗效。方法将64例急性胃十二指肠穿孔患者随机分为治疗组（n=32）和对照组（n=32），分别采用腹腔镜下和传统开腹行穿孔修补术治疗。比较两组患者的穿孔大小、穿孔时间、手术时间、腹腔冲洗液量、术中出血量、术后止痛药用量、胃肠功能恢复时间、并发症。结果两组患者一般资料比较，无明显差异，无统计学意义（P〉0．05）；治疗组手术时间、腹腔冲洗液量、术后止痛药用量、胃肠功能恢复时间、并发症与对照组比较，有统计学差异（P〈0．05）。结论严格掌握手术适应证，腹腔镜治疗胃十二指肠急性穿孔创伤小、恢复快、疗效满意．

Application Experience of Laparoscope in Repair of Acute Gastroduodenal Perforation

Objective Probe into the peritoneoscope down acute Gastric and duodenal perforation curative effect of mending the skill. Methods Divide into and treat the group(n=32)and control group(n=32)64 acute Gastric and duodenal perforation patients at random, adopt peritoneoscope turn on belly do and punch to mend the skill treatment with tradition separately.Compare two groups of patients' punch size,punch time,operation time,abdominal cavity amount of liquid developed,person who bleed in the skill,postoperative a...