腹腔镜与开腹胃十二指肠溃疡穿孔修补术的疗效对比

Efficacy Contrast between Laparoscopic and Open Repair for Patients with Gastroduodenal Ulcer Perforation

目的对比分析腹腔镜与开腹手术治疗胃十二指肠溃疡穿孔的疗效。方法选取2006年1月至2011年12月期间我科收治的胃十二指肠溃疡穿孔患者96例作为研究对象,将上述患者随机分为2组各48例,观察组接受腹腔镜胃十二指肠溃疡穿孔修补术,对照组接受开腹胃十二指肠溃疡穿孔修补术。结果观察组手术时间显著长于对照组,两组比较差异有统计学意义(P<0.05);术中出血量、术后下床活动时间、术后肛门排气时间、术后住院时间、术后镇痛药使用率、术后并发症发生率均显著低于对照组,两组比较差异有统计学意义(P均<0.05)。结论腹腔镜胃十二指肠溃疡穿孔修补术具有创伤小、恢复快、并发症发生率低、疗效确切等优点,值得在临床上推广与应用。

Objective To compare the efficacy of laparoscopy and open repair for patients with gastroduodenal ulcer perforation. Method 96 patients with gastroduodenal ulcer perforation who were admitted into our department from January 2009 to December 2011 were divided into two groups randomly, the observation group included 48 patients and received laparoscopic repair, the control group included 48 patients and received open repair. Results The total operation time of observation group was significantly longer than that of control group, the difference was statistically significant （ P 〈 0.05 ）. The intraoperative blood loss, postoperative ambu- lation time, postoperative anal exhaust time, postoperative hospital stay, utilization rate of postoperative analge- sic, incidence rate of postoperative complications of the observation group were all significantly lower than those of control group, the difference was statistically significant （ P 〈 0.05 ）. Conclusions The laparoscopic repair for patients with gastroduodenal ulcer perforation is of small trauma, quick restoration, low incidence rate of postoperative complications and exact curative effect, so this surgical method is worth popularizing and applying clinically.