腹腔镜胃十二指肠溃疡穿孔修补术36例临床疗效研究

The clinical efficacy of laparoscopic gastric ulcer perforation repair 36 cases

目的探讨腹腔镜胃十二指肠溃疡穿孔修补术的临床效果。方法将我院2009年3月～2012年1月行腹腔镜胃十二指肠溃疡穿孔修补术36例作为腹腔镜组进行研究,另选择同期行开腹胃十二指肠溃疡穿孔修补术治疗的32例患者作为对照组,对比两组患者的手术时间、术中出血量、住院时间、术后并发症情况。结果腹腔镜组手术时间短、术中出血量少、术后住院时间短、术后出现切口感染、肺部感染、腹腔脓肿、粘连性肠梗阻等并发症明显少于对照组,两组上述手术观察指标比较,差异有统计学意义(P<0.05)。术后随访6～12个月,两组均未出现溃疡复发症状,胃镜提示溃疡已愈合。结论腹腔镜胃十二指肠穿孔修补术手术效果效可靠,疗效优于开腹胃十二指肠溃疡穿孔修补术,具有术后恢复快、并发症少等优点,易于被患者接受,值得推广和应用。

Objective To investigate the clinical effects of laparoscopic gastric ulcer perforation repair. Methods All of 36 cases of laparoscopic gastric ulcer perforation repair in our hospital from March 2009 to January 2012 as the laparoscopic group, and selected the same period underwent open gastric ulcer perforation repair treatment of 32 patients as a control group, two operative time, blood loss, hospital stay, postoperative complications were compared between two groups. Results The operative time was short, less blood loss, shorter postoperative hospital stay, postoperative incisional infection, lung in fection, abdominal abscess, adhesion ileus and other complications in the laparoscopic group was significantly less than the control group, the difference was statistically significant. Patients were followed up for 6 to 12 months, two groups were not symptoms of ulcer recurrence, gastroscopy the prompt ulcers had healed. Conclusion The effect of Laparoscopic gastroduo denal perforation repair surgery is efficient and reliable, is more effective than open gastric duodenal ulcer perforation re pair, and has the advantages of rapid postoperative recovery, fewer complications, and it is easy to be accepted by patients, it is worth promotion and application.