腹腔镜胃十二指肠溃疡穿孔修补术临床疗效分析

    Clinical curative effect analysis of laparoscopic neoplasty in the treatment of gastroduodenal ulcer perforation

    • 摘要: 目的:探讨腹腔镜胃十二指肠溃疡穿孔修补术的应用价值。方法:48例胃十二指肠溃疡穿孔患者中,腹腔镜修补术(腔镜组)18例,开腹修补术(开腹组)30例。观察2组患者术中和术后情况。结果:腔镜组在切口长度、术中出血量、术后疼痛评分、肠蠕动恢复时间、镇痛药使用例数和术后住院时间均优于开腹组(P0.05~P0.01)。2组手术时间和术后并发症差异均无统计学意义(P0.05)。结论:腹腔镜胃十二指肠溃疡穿孔修补术临床疗效确切,安全性高,创伤小,恢复快,值得临床推广应用。

       

      Abstract: Objective:To investigate the application value of laparoseopic neoplasty in the treatment of gastroduodenal ulcer perforation.Methods:In 48 cases with gastroduodenal ulcer perforation,18 cases were repaired by laparoscopy(laparoscpy group) and 30 cases were treated with laparotomy(open group).The intraoperative and postoperative situations of two groups were observed and compared.Results:The incision length,intraoperative blood loss,postoperative pain score,enterocinesia recovery time and postoperative hospital stay in laparoscpy group were better than those in open group(P 0.05 to P 0.01).The differences of operation time and postoperative complications in two groups were not statisticalty significant(P 0.05).Conclusions:The laparoseopic neoplasty in the treatment of gastroduodenal ulcer perforation is good effects,high safety,less trauma and fast recovery,which is worthy of clinical popularization and application.

       

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