腹腔镜治疗十二指肠球部溃疡穿孔的临床应用

Exploration of the Clinical Value of Laparoscopic Approach in the Treatment of Perforated Duodenal Anterior-bulb Ulcer

目的评价腹腔镜下修补治疗十二指肠球部溃疡穿孔的临床应用价值。方法对南昌市中西医结合医院2003年1月-2008年4月收治的142例十二指肠球部溃疡穿孔病例随机分组,腹腔镜手术组84例接受腹腔镜下修补治疗,开腹手术组58例接受传统开腹修补。结果2组术后胃肠功能恢复情况、平均住院时间差异均有显著性(P<0.05),2组术后均无出血、腹腔感染、再穿孔等并发症。结论腹腔镜下修补治疗十二指肠球部溃疡穿孔临床安全可行,应该作为首选方法在临床上推广应用。

Objective To explore the clinical value of laparoscopic repair in patients with perforated duodenal bulb ulcer. Methods From January 2003 to April 2008,142 patients with duodenal bulb ulcer were divided into two groups,one was underwent laparoscopic repair（84 cases）, the other was underwent traditional open repair（58 cases）. Results There was a significant difference in recovery of gastrointestinal motility, postoperative analgesia and the mean postoperative hospitalization between two groups （P〈0.05）. There were no complications of postoperative bleeding,intra-abdominal infection and reperforation. Conclusion Laparoscopic repair of duodenal perforation is a safe and feasible approach, and may he regarded as the first choice in clinical practice.