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腹腔鏡胃十二指腸潰瘍穿孔修補術的臨床研究
The clinical studies on laparoscopic gastroduodenal ulcer perforation repair
摘要
目的：探討胃和十二腸潰瘍穿孔患者腹腔鏡手術的臨床療效。方法：回顧性分析91例胃十二指腸潰瘍穿孔行手術治療之住院患者的臨床資料。其中54例行腹腔鏡胃十二指腸潰瘍穿孔修補術（腹腔鏡組），37例行開腹胃十二指腸潰瘍穿孔修補術（開腹組），比較兩組患者在手術時間、術中出血量、術後胃腸功能恢復時間（肛門排氣時間／腸鳴音恢復時間）及併發症發生率等情况。結果：與開腹組比較，腹腔鏡組手術時間較長（P<0.05），但術中出血量較少，胃腸功能恢復較快（P<0.05），兩組的併發症發生率無顯著差異（P>0.05）。結論：腹腔鏡胃十二指腸潰瘍穿孔修補術安全可靠，與傳統開腹手術比較創傷小，恢復快。
並列摘要
Objective: To evaluate the laparoscopic surgery in the treatment of gastroduodenal ulcer perforation in clinical effect . Methods: Retrospective analysis the clinical data, which is 91 cases of patients with gastroduodenal ulcer perforation admitted and treated in our hospital. There were 54 cases in the laparoscopic group which were treated with laparoscopic repair surgery, and there were 37 cases in the open group which were treated with open repair surgery. The operative time, intraoperative blood loss, postoperative time of the recovery of intestinal peristalsis and complication were compared. Results: The operative time is longer in laparoscopic group, but intraoperative blood loss, postoperative time of the recovery of intestinal peristalsis are lower (P<0.05) and complication is the same (P>0.05). Conclusion: The laparoscopic repair of gastroduodenal ulcer perforation possesses is a kind of safe and effective surgery method. Compared with the open repair surgery, the laparoscopic repair surgery has the advantages of minimal incision and short length of recover.