摘要
目的观察腹腔镜胃十二指肠溃疡穿孔修补术的手术效果,并与开腹胃十二指肠溃疡穿孔修补术作比较。方法 2008年7月～2011年11月我院行腹腔镜胃十二指肠溃疡穿孔修补术38例作为观察组,另选择同期开腹胃十二指肠溃疡穿孔修补术36例作为对照组,比较两组的手术时间、出血量、下床活动时间、住院时间和并发症。结果两组患者均顺利完成手术,观察组无中转开腹病例。观察组的术中出血量明显少于对照组,观察组术后排气时间及住院时间明显短于对照组,观察组并发症例数明显少于对照组,差异有统计学意义(P<0.05)。结论腹腔镜胃十二指肠溃疡穿孔修补术具有手术创伤小、术中出血少、住院时间短、并发症少等优点,值得推广和应用。
Objective To observe the laparoscopic gastric ulcer perforation repair surgery, and open gastric duodenal ulcer perforation repair for comparison. Methods From July 2008 to November 2011, the hospital underwent laparoscopic gastric ulcer perforation repair of 38 cases, selected the same period open gastric ulcer perforation repair （n = 36） as a control group, surgical time, blood loss, ambulation time, hospitalization time, complications were compared between two groups. Results All the patients were successfully completed surgery, the laparoscopic group no cases of laparotomy. The intraoperative blood loss of observation group, was significantly less than the control group and observation group after the exhaust time and hospital stay of observation group were significantly shorter than the control group, number of complications in observe the group patients was significantly less than the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Laparoscopic gastric ulcer perforation repair with surgical trauma, less bleeding, shorter hospital stay, fewer complications, advantages, and it is worthy of promotion and application.
出处
《中国现代医生》
2012年第22期34-35,共2页
China Modern Doctor
