腹腔镜下十二指肠溃疡穿孔修补术与开腹手术治疗对比

Comparision Between Laparoscopic Repair and Open Operation in Treating with Duodenal Ulcer Perforation

目的:对比分析腹腔镜与开腹手术治疗十二指肠溃疡穿孔的临床疗效。方法:选取在我院收治的十二指肠溃疡穿孔患者64例,随机分为两组各32例。观察组行腹腔镜手术,对照组行开腹手术,比较两组患者手术效果、术后并发症及复发率情况。结果:观察组患者胃肠功能恢复时间、下床活动时间、术中出血量及住院时间均显著优于对照组(P<0.05);观察组术后并发症发生率及复发率均显著低于对照组(P<0.05)。结论:与开腹手术相比,腹腔镜下十二指肠溃疡穿孔修补术具有创伤小、疼痛轻、恢复快、住院时间短、并发症少及复发率低等特点,值得临床推广。

Objective：To contrast the curative effect of laparoscopic and open surgery treatment of duodenal ulcer perforation. Methods： 64 patients were randomly divided into two groups （n=32）. Line laparoscopic observation group, control group row open, compared two groups of the indicators. Results：The observation group of gastrointestinal function recovery time, ambulation time, intraoperative blood loss and hospital stay were significantly better than control group （P〈0.05）; observation group, postoperative complications rate and recurrence rate were significantly lower than control group （P〈0.05）. Conclusion：Laparoscopic duodenal ulcer perforation repair has small trauma, pain, rapid recovery, short hospital stay, fewer complications and recurrence rate is low, is worth promoting.