腹腔镜十二指肠球部溃疡穿孔修补术与开腹手术的疗效比较

Comparison on the Efficacy of Laparoscopic Duodenal Ulcer Perforation Repair and Open Surgery

目的对比腹腔镜十二指肠球部溃疡穿孔修补术与开腹手术治疗十二指肠球部溃疡穿孔的手术效果,进一步探讨对胃肠功能恢复情况的影响。方法 60例患者随机分为腹腔镜组和开腹组各30例,比较两组手术观察指标及术后胃肠功能恢复情况及并发症发生率。结果开腹组的手术时间短于腹腔镜组,但腹腔镜组术后下床活动早,住院时间短。术后腹腔镜组的肠鸣音恢复时间、肛门排气、排便时间短于开腹组,并发症发生率(3.33%)低于开腹组(16.67%)(P<0.05或P<0.01)。结论腹腔镜下十二指肠球部溃疡穿孔修补术损伤小、痛苦轻、腹腔干扰小、胃肠功能恢复快、术后并发症少。

Objective To compare the effect of laparoscopic duodenal ulcer perforation repair and open surgery of duodenal ulcer effect of surgery, and further explore the impact of recovery of gastrointestinal function. Methods All 60 patients were randomly divided into the laparoscopic group and the laparotomy group, 30 cases in each group.We compared surgery observed indicators and the recovery of gastrointestinal function and incidence of complications in two groups. Results The operation time of the laparotomy group was shorter than the laparoscopic group, but get out of bed in laparoscopic group was early, shorter hospital stay. Recovery time of bowel sounds, flatus time, defecation time in the laparoscopic group were shorter, the complication rate （ 3.33% ） was lower than that in the laparotomy group （ 16.67% ） （ P 〈 0.05 or P 〈 0.01 ）. Conclusion Laparoscopic duodenal ulcer perforation repair damage, less pain, abdominal disturbance is small, fast recovery of gastrointestinal function, less postoperative complications.