经腹腔镜胃十二指肠溃疡穿孑L修补术34例临床分析

目的探讨应用腹腔镜技术行胃十二指肠溃疡穿孔修补的可行性、安全性与有效性。方法62例胃十二指肠溃疡穿孔患者，34例经腹腔镜行胃十二指肠穿孔修补术（腹腔镜组），28例常规开腹行溃疡修补术（开腹组）；比较2组手术时间、术后胃肠功能恢复时间、住院时间、镇痛药物使用比例及术后并发症发生率。结果腹腔镜组手术时间（（70．1±4．2）min）与开腹组（（64．6±3．2）min）比较差异无统计学意义（P〉0．05），术后胃肠功能恢复时间（（35．7±6．8）h）、住院时间（（8．4±0．7）d）短于开腹组（（69．9±6．4）h、（14．8±1．6）d）（P〈0．01）；腹腔镜组镇痛药物使用比例少于开腹组（P〈0．05），术后无切口感染、肠梗阻发生。结论腹腔镜胃十二指肠溃疡穿孔修补术安全、有效。

Clinical analysis of laparoscopic repair of gastroduodenal ulcer perforation in 34 cases

Objective To explore the feasibility, safety and efficacy of laparoscopic repair of gastroduodenal ulcer perforation. Methods In 62 patients with gastroduodenal ulcer perforation, 34 patients underwent laparoscopic operation and 28 patients underwent open operation. The operation time, recovery time of gastrointestinal function after operation, hospitalization duration, analgesic frequency and postoperative complications were compared between two groups. Results There was no significant difference in operation time between laparoscopic group （（70. 1± 4.2） minutes） and open operation group （（64.6±3.2） minutes） （P〉0.05）. The recovery time of gastrointestinal function after operation and the hospitalization duration were shorter in laparoscopic group （（35.7 ± 6.8） hours and （8.4±0.7） days） than those in open operation group （（69.9±6.4） hours and （14.8±1.6） days） （P〈0.01）. The rate of analgesics application was lower in laparoscopic group than that in open operation group （P〈0.05）. No complications were found such as incision infection or intestinal obstruction. Conclusion Laparoscopic repair of gastroduodenal ulcer perforation is safe and effective.