经腹腔镜用ZT胶粘补溃疡病穿孔的临床研究

The clinical study of treating ulcerous perforation with the ZT medical glue under laparoscopy

目的:探讨经腹腔镜用ZT胶粘补溃疡病穿孔的临床价值。方法:经腹腔镜用ZT胶粘补溃疡病穿孔50例研究组,非随机性抽取同期开腹行溃疡病穿孔修补术50例作为对照组进行分析。结果:2组术后一般情况,引流情况,并发症,治愈率等差异无显著性（P>0.05）;手术时间、住院天数差异有高度显著性（P<0.01）。结论:经腹腔镜用ZT胶粘补术治疗溃疡病穿孔具有与开腹穿孔修补术同样的疗效;该术式具有“微创”特点,所需设备简单,不增加医疗费用,便于在基层医院开展。

Objective: To probe the clinical value of treating ulcerous perforation with the ZT medical glue under laparoscopy. Methods: Taking 50 cases of ulcerous perforation treated with ZT medical glue by laparoscopy as the test group, and another 50 cases having had laparotomy for repair of the perforation during the same period not with random access as the control group, compared and analyzed them.Results:There's no significant statistic difference in postoperative general situation,drainage situation,complications,cure rate between the groups( P > 0.05), however, there's significant difference in operative time,hospitalization span(P<0.01). Conclusions:Treating ulcerous perforation with the ZT medical glue is as effective as operation of perforation repair. It has the characteristic of microtrauma, simple low cost, easily carried out at basic level hospital,so is worth popularizing.