腹腔镜胃十二指肠溃疡穿孔修补术临床分析

Comparative analysis 166 cases of laparoscopic repair of gastric ulcer and duodenum ulcer perforation

目的总结探讨腹腔镜胃十二指肠溃疡穿孔修补术的临床应用及体会。方法回顾性对比分析2002年12月～2006年12月腹腔镜下缝合修补溃疡穿孔166例与传统开腹修补66例临床效果。结果腹腔镜下缝合修补溃疡穿孔均获得成功,无严重并发症发生,缩短了住院日数,肠道功能恢复天数及主要症状的改善天数。结论腹腔镜溃疡穿孔修补术创伤小,术后并发症少,操作简单且集诊断、探查、治疗与一体,显示了微创外科的优越性,是目前最适合普及应用的溃疡穿孔修补手术方法。

Objective To discuss the clinical application and advantages and acceptable value of laparoscopic repair of peptic ulcer perforation. Methods Comparative analysis clinical effects retrospectively that 166 cases of peptic ulcer perforation were treated with laparoscopic repair of peptic ulcer perforation and traditional open operation from December, 2002 to December, 2006. Results All cases were successful and no serious complication happened, shorten the duration of hospital stay, day for intestinal function restoration and duration of improvement of main symptoms. Conclusions This method not only has small injuries, less postoperative complications and simple, but also include the process of diagnosis detect and treatment. This method shows fully the advantages of keyhole surgery and may be used in the treatment of peptic ulcer perforation with laparoscopy in present.