腹腔镜与开腹胃十二指肠溃疡穿孔修补术的疗效比较

目的：比较腹腔镜与开腹胃十二指肠溃疡穿孔修补术的疗效。方法：将80例胃十二指肠溃疡穿孔患者随机分为腹腔镜组和开腹组,各40例。比较两组患者围术期情况、并发症发生情况和术后使用镇痛剂情况。结果：腹腔镜组患者的手术时间、术中出血量、术后肠蠕动恢复时间和住院时间明显少于开腹组（t值分别为6.427、5.888、8.559、4.166,均P〈0.01）;腹腔镜组患者术后切口感染率和术后镇痛次数明显低于开腹组（χ^2值分别为11.429、28.475,均P〈0.01）。结论：相对于开腹手术,经腹腔镜胃十二指肠溃疡穿孔修补术具有更好的短期疗效,是一种安全有效的手术方法。

Comparison of effects between laparoscopy and laparotomy for gastroduodenal ulcer perforation

Objective： To compare the efficacy of laparoscopy and laparotomy for gastroduodenal ulcer perforation. Methods： 80 cases of patients with gastroduodenal ulcer perforation were randomly divided into the laparoscopic group （40 cases） and laparotomy group （40 cases）. The perioperative states, complication incidence and postoperative usage of the analgesic drug were compared between two groups. Results： The operative time, intraoperative blood loss, postoperative time of the recovery of intestinal peristalsis and hospital stay were significantly less in the laparoscopic repair group than in the laparotomy group （t=6.427, 5.888, 8.559 and 4.166 respectively, all P〈0.01）, and the rate for postoperative incision infection and frequency of postoperative usage of the analgesic drug were considerably lower （χ^2=11.429 and 28.475, both P〈0.01）. Conclusion： Compared with the laparotomy, the laparoscopic repair of gastroduodenal ulcer perforation possesses the better short-term efficacy, and is a kind of safe and effective surgery method.