腹腔镜行消化性溃疡急性穿孔修补手术的临床研究

Laparoscopic repair of acute perforation in patients with digestive ulcer

目的探讨腹腔镜治疗消化性溃疡急性穿孔的临床价值。方法对腹腔镜手术组(腔镜组)53例和开腹手术组(开腹组)54例患者的手术时间、术中出血量、肠鸣音恢复时间、住院时间、使用镇痛剂例数、住院费用、术后切口及腹腔感染例数等指标进行比较。结果腔镜组术中出血量、术后肠鸣音恢复时间、住院时间、使用镇痛剂等指标均显著小于开腹组(P<0.05)。结论腹腔镜手术具有侵袭性小、腹腔干扰小、术后痛苦小、肠功能恢复快、住院时间短等优点,可成为治疗消化性溃疡急性穿孔优先选择的治疗方法。

Objective To study the value of laparoscopy in treatment of acute digestive ulcer. Methods Laparoscopy group consisted of 53 patients with acute perforation of digestive ulcer but laparotomy group included 54 patients, in the two groups, We analyzed operating time, hemorrhagic volume, intestinal function recovery, postoperative hospital stay, use of antineuragics, cost of hospital stay and postoperative complications. Results Significant difference （P 〈 0. 05） was noted in the hemorrhagic volume, intestinal function recovery, postoperative hospital stay, use of antineuragics between the two groups. Conclusions Compared with laparotomy, laparoscopy has such advantages as less injury, less disturbance of celiacorgans, faster recovery, and short postoperative hospital stay in the treatment of acute perforation of digestive ulcer. This method does not increase the cost of hospital stay and it can replace laparotomy.