消化道溃疡穿孔修补术的临床疗效观察

目的观察消化道溃疡穿孔修补术的临床疗效。方法选取丰顺县人民医院及市人民医院自2006年1月至2009年12月收治的消化道溃疡穿孔患者126例随机分为观察组(腹腔镜组)和对照组(开腹组)各63例,比较两组的治疗效果及术后并发症、康复情况。结果两组患者均手术成功,观察组平均手术时间为78.4min,对照组平均手术时间为75.9min,两组差异不大(P>0.05),观察组平均住院时间4d,对照组平均住院时间8d,两组差异显著(P<0.05),经术后6个月随访,两组患者均达到临床愈合。观察组总计发生术后并发症1例,占1.6%;对照组总计发生术后并发症6例,占9.5%。两组比较差异显著(P<0.05)。结论经腹腔镜穿孔修补术治疗消化道溃疡穿孔效果理想,且具有并发症少、愈合快的优点,值得临床推广使用。

The Clinical Curative Effect of Observation about Peptic Ulcer Perforation Repair

Objective To observe the peptic ulcer perforation repair of clinical efficacy.Methods in Fengshun people＇s hospital from January 2006～December 2009 admitted 126 cases of perforated peptic ulcer were randomly divided into two groups（laparoscopic group） and control group（open group） of the 63 cases,two groups were compared treatment and postoperative complications,rehabilitation.Results All patients were successfully operated,observation group,the average operation time was 78.4min,the control group,the average operation time was 75.9min,little difference between the two groups（P〉0.05） ,The observation group average length of time in four days,the average length of time,two groups of eight days significant difference（P〈0.05） ,after 6 months of follow-up,patients in both groups achieved clinical healing.Total observation group complications occurred in 1 case,1.6%;the control group a total of 6 cases of postoperative complications,accounting for 9.5%.Significant difference between the two groups（P〈0.05） . Conclusion Laparoscopic repair of perforated peptic ulcer perforation treatment results are satisfactory,and has fewer complications,heal faster,and worth for clinical use.