腹腔镜与开腹胃十二指肠溃疡穿孔修补术的对比研究

Comparative study between laparoscopic and open repair of perforated gastroduodenal ulcer

目的:探讨腹腔镜胃十二指肠溃疡穿孔修补术的可行性及安全性。方法:回顾分析2008年1月至2010年5月收治的30例腹腔镜和38例开腹胃十二指肠溃疡穿孔修补患者的临床资料。结果:腹腔镜组与开腹组平均手术时间分别为(58.64±10.6)min和(76.42±15.4)min(P<0.05);术中出血量分别为(35.84±12.26)ml和(80.65±25.46)ml(P<0.001);术后镇痛例数腹腔镜组明显少于开腹组(P<0.01);术后肛门排气时间及住院时间腹腔镜组明显早于开腹组(P<0.001);腹腔镜组无并发症发生,开腹组2例发生盆腔脓肿。结论:与开腹手术相比,腹腔镜胃十二指肠溃疡穿孔修补术具有患者创伤小、疼痛轻、康复快、并发症少等优点,是安全、有效的治疗方法。

Objective：To study the feasibility and safety of laparoscopic repair of perforated gastroduodenal ulcer.Methods：The laparoscopic experience on 30 patients with perforated gastroduodenal ulcer was compare with 38 patients who had undergone open repair of perforated gastroduodenal ulcer.Results：The operative time was（58.64±10.6）min in the laparoscopic group and（76.42±15.4）min in the open group（P0.05）.The blood loss was（35.84±12.26）ml in the laparoscopic group and（80.65±25.46）ml in the open group（P0.001）.The number of patients who needed analgesic drugs was less and bowl function returned earlier in the laparoscopic group（P0.01）.The postoperative hospital stay was shorter in laparoscopic group（P0.01）.There was no complication in the laparoscopic group.In the open group,two patients had pelvic abscess.Conclusions：Compared with open technique,the laparoscopic repair of perforated gastroduodenal ulcer is safe and feasible,provides the advantages of less pain,quicker recovery and less complication.