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两种方法治疗胃十二指肠溃疡穿孔的疗效研究 被引量:10

The Comparative Efficacy of Laparoscopic and Traditional Open Repair in the Treatment of Gastric Ulcer Perforation
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摘要 目的为了进一步探讨比较腹腔镜与传统开腹修补术治疗胃十二指肠溃疡穿孔的临床实际疗效。方法本文选取了北京市西城区广外医院2008年3月-2012年2月间入院治疗的71例胃十二指肠溃疡穿孔患者为研究对象,针对患者的临床资料进行了回顾性分析,对实施不同治疗方法后的相关临床指标进行了比较研究。结果两组患者实施不同手术后,腹腔镜组患者的手术时间短于传统开腹组患者,腹腔镜组患者的术中出血量少于传统开腹组患者,腹腔镜组患者的胃肠道功能恢复早于传统开腹组患者,腹腔镜组患者的住院时间短于传统开腹组患者,腹腔镜组患者的切口感染率低于传统开腹组患者,且组间比较,P均<0.05,差异具有统计学意义。结论在修补术治疗胃十二指肠溃疡穿孔的临床实践过程中,采用腹腔镜技术的临床效果显著。 Objective To further investigate and compare the actual clinical efficacy of laparoseopie and traditional open re- pair in the treatment of gastroduodenal ulcer perforation. Methods 71 hospitalized patients with gastric ulcer perforation in our hospital from March 2008 to February 2012 were chosen as the research object. The clinical data of the patients was taken for ret- rospective analysis. The clinical indicators after the implementation of the different treatment methods were taken for comparative study. Results After the implementation of different surgeries, the surgery time in the laparoscopic patients was shorter than that of the traditional laparotomy patients, the blood loss in the laparoseopie group was less than that of the traditional open surgery group, gastrointestinal functional recovery time in laparoscopic group was earlier than that of the traditional open group, the hospi- tal stay was shorter than that of the ]aparoscopie group and the wound infection rate in the laparoscopic group was lower than that of the traditional open surgery group, compared between the two groups( P 〈 0.05 ) , there was statistically significant difference. Conclusion In the clinical practice of complement in the treatment of gastric ulcer perforation, the clinical effect of laparoseopic technique was significant.
作者 张宇
出处 《中华全科医学》 2013年第7期1045-1045,1084,共2页 Chinese Journal of General Practice
关键词 腹腔镜 传统开腹修补术 胃十二指肠溃疡穿孔 疗效对比 Laparoscopy Conventional open repair Gastric ulcer perforation Comparative efficacy
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