腹腔镜与开腹手术治疗胃十二指肠溃疡穿孔的疗效对比

【摘要】〓目的〓比较腹腔镜与开腹手术治疗胃十二指肠溃疡穿孔的临床疗效。方法〓回顾性分析腹腔镜胃十二指肠溃疡穿孔修补术及开腹胃十二指肠溃疡穿孔修补术各60例的临床资料,比较分析两种手术的手术时间、术后下床时间、住院时间、住院费用、失血量、术后使用镇痛药例数、切口美观及术后并发症等情况。结果〓腹腔镜组与开腹组比较,术后下床时间、住院时间、失血量、术后使用镇痛药例数、切口美观等均优于开腹手术组;术后并发症腹腔镜组的切口感染、腹腔残余脓肿、肠粘连等发生率均低于开腹组,差异有统计学意义(P<0.05)。结论〓腹腔镜胃十二指肠溃疡穿孔修补术与开腹手术比具有创伤小、痛苦小、康复快、住院时间短、术后并发症少、切口美观等优点,值得临床推广。

Comparative study on the clinical effect between laparoscopic and traditional open surgery in the treatment of gastroduodenal perforation

Objective To compare the effect between laparoscopic and open surgery in the treatment of gastroduodenal ulcer perforation. Methods A retrospective data of patients with gastric ulcer perforation was analyzed, in which 60 cases in each of undergoing laparoscopic operation and open surgery. The clinical effects were compared between two groups. Results Compared to open surgery, the curative effect of laparoscopic group was superior to that of open operation in hospital stay, postoperative off-bed time, blood loss, and the incision looking. The complications in laparoscopic group such as incision infection, abdominal abscess, intestinal adhesion in laparoscopic group were lower than in open operation group. There was no significant difference in operative time and hospital costs between two groups. Conclusion Compared to open surgery, laparoscopic gastroduodenal ulcer perforation repair surgery has good clinical effect and low complication occurrence, and is worthy of promotion.