胃十二指肠溃疡穿孔腹腔镜修补术50例疗效研究

目的观察胃十二指肠溃疡穿孔腹腔镜修补术的疗效。方法选取100例胃十二指肠溃疡穿孔患者作为观察对象，随机分为观察组和对照组各50例。对照组行常规开腹修补术；观察组行胃十二指肠溃疡穿孔腹腔镜修补术。观察比较两组的手术效果情况。结果观察组的术中出血量、术后肛门排气时间、住院时间明显短于对照组（P〈0．05或P〈0．01）。观察组发生切口出血、切口感染及肠梗阻的发生例数明显少于对照组。结论胃十二指肠溃疡穿孔腹腔镜修补术具有良好的疗效，并发症少，适合基层医院广泛推广和应用。

Laparoscopic Repair of Perforated Gastriculcer 50 Cases

Objective To observe the effect of the laparoscopic repair treatment gastriculcer. Methods All of 100 cases patients with gastric ulcer were randomly divided into observation group treated laparoscopic repair of perforated gastric ulcer, and control group treated conventional open surgery repair, each group 50 cases respectively. The effect and complications of surgery cases were observed. Results The blood loss of observation group, postoperative anal exhaust time, hospital stay was significantly shorter than control group （P〈0.05 or P〈O.01）. The wound bleeding, wound infection and the incidence of intestinal obstruction in observation group were less than those in control group. Conclusion Laparoscopic repair of perforated gastriculcer has good efficacy and few complications, for basic hospital application widely.