腹腔镜与开腹手术治疗124例消化性溃疡急性穿孔的对比研究

目的:对比分析腹腔镜下与开腹修补消化性溃疡急性穿孔的手术疗效。方法:2002年1月至2004年12月急诊行消化性溃疡穿孔修补术124例,于腹腔镜下完成65例,传统开腹完成59例,比较两种手术患者的年龄、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、综合住院费用、药品比例等。结果:2组除患者年龄、性别、白细胞计数及中性粒细胞百分比、手术时间、综合住院费用外,余者差异均有显著性(P<0.05)。结论:腔镜手术修补具有创伤小、康复快、并发症少、住院时间短、美容效果好、医疗效率高等优点,是治疗消化性溃疡急性穿孔较理想的手术方式。

Contrastive study on 124 cases with acute perforation of digestive ulcer treated with laparoscopy or laparotomy

Objective:To contrast the effect of laparoscopy and laparotomy for acute perforation of digestive ulcer.Methods:124 cases with acute perforation of digestive ulcer performed repaired operation were analysized,65 cases treated by laparoscopy,59 cases treated by laparotomy.Two methods were contrasted in patients' age,operative time the time of leaving bed to move after operation,discharge gas time after operation,rate of using anodyne after operation take place complication rate postoperation,hospitalization,all fees in hospital,drug's proportion.Results:All indexes were different signifioantly.between laporoscopy and laparotomy except for patientsyage,sex,leucocyte enumerate and neutrophilic granulocyte percent,hospitalization,all fees in hospital(P<0.05).Conclusions: Repair by laparoscopy has many advantages:less invasive,rapid recovery,less complication,short time in hospital,better aesthetic,great effective rate.So laparoscope operation is an idea method to treat digestive ulcer acute perforation.