腹腔镜与开腹手术治疗上消化道溃疡穿孔的对照研究

目的:探讨腹腔镜治疗上消化道溃疡穿孔的可行性和效果。方法:回顾分析本院2005年1月至2007年3月24例腹腔镜手术以及36例开腹手术治疗上消化道溃疡穿孔患者的临床资料,并进行对照研究。结果:全部病例均手术成功。腹腔镜组与开腹组的术后使用镇痛药使用率分别为4.2%和41.7%(P<0.01);术后胃肠功能恢复时间平均为29h和62h(P<0.001);平均住院时间为7.3d和9.8d(P<0.01);术后并发症发生率分别为0和16.7%(P<0.05)。两组均治愈出院,术后3个月复查胃镜均未见溃疡复发。结论:经腹腔镜行上消化道溃疡穿孔修补术与传统开腹手术相比,具有疼痛轻,康复快,并发症少等优点,是安全、有效的治疗方法。

The comparison between laparoscopic and open surgery in peptic ulcer perforation

Objective:To explore the feasibility and effect of laparoscopic surgery in peptic ulcer perforation.Methods:Twenty-four cases were operated by laparoscopy and 36 cases were performed open repair.Results:All cases were succeeded.The postoperative requirement of analgesic in laparoscopic group and open group was 4.2% and 41.7%(P<0.01);the recovery time of gastrointestinal function was 29h and 62h(P<0.001);the mean time of hospitalization was 7.3d and 9.8d(P<0.01);the complications were 0 and 16.7%(P<0.05).Conclusions:The laparoscopic repair is a safe and efficient minimally invasive method for peptic ulcer perforation.