摘要
消化道穿孔是外科急腹症之一,病情一般较重且进展较快,常须行穿孔修补手术治疗,包括开腹手术和腹腔镜手术。腹腔镜手术在手术时间、术后止痛剂使用、住院时间、术后恢复时间、刀口感染发生率等方面具有明显优势,尤其近年随着腹腔镜技术的飞速发展,腹腔镜手术已逐渐替代开腹手术治疗消化道穿孔。尽管腹腔镜手术治疗消化道穿孔已广泛应用于临床,但在手术技能、病人选择方面仍存在一些争议及问题,而这往往成为导致中转开腹的主要因素。因此,外科医师在提高手术技能的同时,还须严格掌握手术适应证,以避免对病人造成不必要的损伤。
Gastrointestinal perforation is one of the acute abdomen, which is severe and has rapid progress. It often requires surgical repair. At present, there are two methods, including laparoscopic and open surgery. Comparatively speaking, laparoscopic surgery has obvious advantage in the operating time , postoperative analgesic use, length of hospital stay and recovery time, incision infection. Especially, with the rapid development, laparoscopic surgery has already become the main treatment strategy of the gastrointestinal perforation. Although laparoscopic surgery in the treatment Of gastrointestinal perforation has been widely used in clinical, there are still some controversial in surgical skills and patient selection,which requires more attention. These problems are often the major factors leading to conversion of laparotomy, so this requires surgeons improving their skills and strictly mastering surgical indications, in order to avoid unnecessary harm and trouble.
出处
《中国实用外科杂志》
CSCD
北大核心
2015年第5期490-493,共4页
Chinese Journal of Practical Surgery
关键词
消化道穿孔
腹腔镜
开腹手术
gastrointestinal perforation
laparoscopy
opensurgery
