经脐单孔与双孔腹腔镜消化性溃疡穿孔修补术的对比研究被引量：5

Comparative study of transumbilical single hole and double hole laparoscopic repair of peptic ulcer perforation

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摘要目的寻找更佳的腹腔镜消化性溃疡穿孔修补术的手术方式。方法回顾性分析腹腔镜消化性溃疡穿孔修补术患者37例的临床资料,其中经脐单孔腹腔镜消化性溃疡穿孔修补术(单孔组)15例,双孔腹腔镜消化性溃疡穿孔修补术(双孔组)22例。比较2组手术时间、术中出血量、术后排气时间、卧床时间、住院时间、切口感染率、使用镇痛剂情况。结果双孔组手术时间、术后排气时间及住院时间较单孔组明显缩短(P<0.05),术后切口感染发生率较单孔组明显减少(P<0.05);2组术中出血量、卧床时间、使用镇痛剂差异无统计学意义(P>0.05)。结论双孔腹腔镜消化性溃疡穿孔修补术操作方便、安全、手术时间短、术后切口感染率低、术后进食早、住院时间短,值得临床推广应用。 Objective To search for a better method for laparoscopic repair of peptic ulcer perforation.Methods Retrospective analyzed 37 cases underwent laparoscopic repair of peptic ulcer perforation,the transumbilical single hole group（15cases）,the double holes laparoscopic group（22cases）.Comparative analysis of the transumbilical single hole group and the double holes laparoscopic group of patients with operation time,intraoperative bleeding volume,postoperative fasting time,lied in bed time,hospitalization time,analgesic use.Results The operation time,postoperative exhaust time and hospitalization time of double holes laparoscopic group were significantly shorter than thoes of single port laparoscopic group（P〈0.05）;The incision infection of double holes laparoscopic group was significantly reduced than that of single hole laparoscopic group（P〈0.05）;The amount of intraoperative bleeding,analgesic use and the mortality rate between the two groups had no significant difference（P〉0.05）.ConclusionDouble holes laparoscopic repair was more convenient and more safety than transumbilical single port laparoscopic repair of peptic ulcer perforation,the operation time was shorter,the incision infection rate was lower,the recovery time of intestinal peristalsis and the hospitalization time were shorter.

作者康春博孟庆成李小伟李旭斌张骞曲军

机构地区航天中心医院普通外科

出处《河北医科大学学报》 CAS 2016年第2期151-153,165,共4页 Journal of Hebei Medical University

关键词消化性溃疡穿孔腹腔镜检查治疗结果 peptic ulcer perforation laparoscopy treatment outcome

分类号 R656.62 [医药卫生—外科学]

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参考文献14

1Wang YR,Richter JE,Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006[J]. Ann Surg,2010,251(1):51-58.
2Wysocki A, Budzynski P, Kulawik J, et al. Changes in the localization of perforated peptic ulcer and its relation to gender and age of the patients throughout the last 45 years [J]. World J Surg,2011,35(4) :811-816.
3Bertleff MJ, Lange JF. Perforated peptic ulcer disease: a review of history and treatment[J]. Dig Surg, 2010,27 (3) : 161-169.
4Moiler MH, Adamsen S, Thomsen RW, et al.Multicentre trial of a perioperative protocol to reduce mortality in patients with peptic ulcer perforation~J]. Br J Surg,2011,98(6) : 802- 810.
5康春博,曲军,刘金洪,叶博,李小伟,李旭斌,林大鹏,孟庆成,王立勇.经脐单孔腹腔镜与开腹阑尾切除术的单中心回顾性研究[J].中国煤炭工业医学杂志,2014,17(11):1732-1734. 被引量：11
6Guadagni S, Cengeli I,Galatioto C, et al. Laparoscopic repair of perforated peptic ulcer: single-center results [J]. Surg Endosc,2014,28(8):2302-2308.
7Byrge N, Barton RG, Enniss TM, et al. Laparoscopie versus open repair of perforated gastroduodenal ulcer: a National Surgical Quality Improvement Program analysis[J]. Am J Surg,2013,206(6) :957-962.
8Lee CW,Sarosi GA Jr.Emergency ulcer surgery[J]. Surg Clin North Am,2011,91(5) : 1001 - 1013.
9Aljohari H, Althani H, Elmabrok G, et al. Outcome of laparoscopic repair of perforated duodenal ulcers [J ]. Singapore Med J ,2013,54(4) :216- 219.
10靳喜斌.两种不同方法治疗胃十二指肠溃疡穿孔86例疗效分析[J].中国实用乡村医生杂志,2015,0(1):43-44. 被引量：4

二级参考文献26

1陈道瑾,丁波泥.腹腔镜胃十二指肠溃疡穿孔修补术[J].中华胃肠外科杂志,2006,9(6):472-473. 被引量：27
2GREAVES N, NICHOLSON J. Single incision laparoscopic surgery in general surgery: a review [ J ]. Ann R Coll Surg Engl,2011 ,93 (6) :437 - 440.
3ARTEAGA GONZALEZ I, MARTIN MALAGON A, GARCIA SG, et al. Single-incision laparoscopic surgery for colon and rectal cancer: an initial experience with the technique [ J ]. Surg Laparosc Endosc Percutan Tech, 2013,23 ( 6 ) :494 - 497.
4OLWENY EO, BEST SL, TRACY CR, et al. New technology and applied research: what the future holds for LESS and NOTES [J]. Arch Esp Urol,2012,65(3) :434-443.
5Addiss DG, Shaffer N,Fowler BS, et al. The epidemi- ology of appendicitis and appendectomy in the United States[J]. Am J Epidemiol,1990,132:910 - 925.
6Serum K. Endoscopic appendectomy[J]. Endoscopy, 1983,15:59 - 64.
7Pelosi MA,Pelosi MA 3rd. Laparoscopic appendecto- my using a single umbilical puncture (minilaparosco- py) [J]. J Reprod Med, 1992,37 (7) .. 588 - 594.
8Bonanni F, Reed J, Hartzell G, et al. Laparoscopic ve- rsus conventional appendectomy[J]. J Am Coll Surg, 1994,179 : 273 - 278.
9Kapischke M, Calicbe A, Tepel J,et al. Open versus laparoscopic appendectomy [J]. A Critical Review Surg Endosc, 2006,20 : 1060 - 1068.
10Paik PS, Towson JA, Anthone GJ, et al. Intraabdomi- nal abscesses following laparoseopie and open appen- dectomies[J]. J Gastrointest Surg, 1997,1 : 188 - 193.