腹腔镜与开腹手术修补胃十二指肠溃疡穿孔89例对比研究

目的:探讨腹腔镜胃十二指肠溃疡穿孔修补术的可行性及安全性。方法:对49例腹腔镜和40例开腹胃十二指肠溃疡穿孔修补患者的临床资料进行对比分析。结果:腹腔镜组与开腹组平均手术时间分别为59.28±11.01min和60.15±10.12min,两组相比无显著性差异(P>0.05);术中出血量分别为20.41±10.07ml和46.72±16.48ml;术后疼痛VAS计分分别为2.2±0.9分和4.6±1.8分;术后下床活动时间、肛门排气时间、进食时间及出院时间腹腔镜组明显早于开腹组(P<0.05);腹腔镜组无切口并发症发生,开腹组3例发生盆腔脓肿。结论:与开腹手术相比,腹腔镜胃十二指肠溃疡穿孔修补术具有患者创伤小、疼痛轻、康复快、并发症少等优点。是安全、有效的治疗方法。

Comparative study between laparoscopy and open repair of perforated gastroduodenal ulcer

Objective：To study the feasibility and safety of laparoscopy repair of perforated gastroduodenal ulcer. Methods：The laparoscopy experience on 49 patients with perforated gastroduodenal ulcer was compare with 40 patients who had undergone open repair of perforated gastroduodenal ulcer. Results：The operative time was 59.28±11.01 min in the laparoscopy group and 60.15±10.12 min in the open group（P〉0.05）. The blood loss was 20.41±10.07 ml in the laparoscopy group and 46. 72±16. 48 ml in the open group（P〈0. 05）. The VAS grade was 2.2±0.9 in the laparoscopy group and 4.6±1.8 in the open group （P〉0.05）. The postoperative hospital stay and recovery time were shorter in laparoscopy group（P〈0.05）. There was no complication in the laparoscopy group. In the open group, three patients had pelvic abscess. Conclusion：Compared with open technique, the laparoscopy re pair of perforated gastroduodenal ulcer is safe and feasible, providing the advantages of less pain, quicker recovery and less complication.