摘要
目的:总结腹腔镜急性胃十二指肠清疡穿孔修补术的临床经验。方法:回顾分析36例胃十二脂肠溃疡穿孔修补术中应用腹腔镜的临床资料。36例胃十二指肠溃疡穿孔中,十二指肠球部溃疡穿孔30例,胃幽门管穿孔3例,胃窦部前壁穿孔2例,胃体部小弯侧穿孔1例。病理检查6例中良性穿孔5例,癌性穿孔1例。结果:36例中35例获得成功。1例癌性溃疬中转开腹,无手术并发症发生,无死亡病例。良性溃疡患者术后平均8天出院,出院后均予以内科根除幽门杆菌、口服质子泵抑制剂治疗。结论:腹腔镜胃十二指肠溃疡穿孔修补术治疗急性胃十二指肠溃疡穿孔,与开腹手术同样安全有效,具有良好的临床应用价值。
Objective To summarize laparoscopic acute gastric duodenal clear ulcers punch suture clinical experience. Methods Ret- rospective analysis of 36 patients with gastric bowel ulcer perforation twelve fat in laparoscopic suture application of clinical data. 36 patients with gastric duodenal ulcer perforation, duodenal bulb ulcer perforation 30 cases. Stomach pyloric tube perforation in 3,the dis- tal stomach front wall perforation in 2 cases,gastric body of curvature side perforation 1 case. Pathologic examination of the six cases of benign punch in 5 patients. Cancerous perforation 1 case. Results 36 fall in 35 cases of success. 1 cases of carcinoma sex run Li he- mi-colectomy, no complications happened. No deaths. Benign ulcer patients postoperative average 8 d in the hospital and after dis- charge shall be called helicobacter pylori eradication internal medicine, oral proton pump inhibitor treatment. Conclusion Laparoscopic gastroduodenal ulcer perforation suture in the treatment of acute gastric duodenal ulcer perforation, and laparotomy also is safe and ef- fective, with good clinical application value.
出处
《中国美容医学》
CAS
2012年第11X期162-163,共2页
Chinese Journal of Aesthetic Medicine
关键词
腹腔镜
胃十二指肠溃疡
穿孔
修补术
laparoscope
gastric duodenal ulcer
perforation
neoplasty
