腹腔镜与开腹手术治疗消化性溃疡穿孔的效果对比

Comparison on the effect of laparoscopic and laparotomy in treatment of peptic ulcer perforation

目的：对比分析腹腔镜与开腹手术治疗消化性溃疡穿孔的手术效果。方法选取2011年1月~2013年1月在本院行腹腔镜穿孔修补术的患者40例作为腹腔镜组，另选择同期在本院行开腹子穿孔修补术的40例患者作为对照组，比较两组患者的手术时间、术中出血量、术后排气时间、住院时间及并发症发生情况。结果腹腔镜组患者的术中出血量明显少于对照组（P〈0.01）；术后排气时间明显短于对照组（P〈0.01）、住院时间短于对照组（P〈0.05），腹腔镜组的并发症发生率仅为5.0%，明显低于对照组（P〈0.05）。结论腹腔镜胃十二指肠溃疡穿孔修补术较开腹手术能减少术中出血量、降低术后发症发生率、缩短住院时间、促进患者术后的恢复，值得临床推广应用。

Objective To compare the effect of laparoscopic and laparotomy in treatment of peptic ulcer perforation. Methods 40 patients with underwent laparoscopic perforation repair from January 2011 to January 2013 in our hospital were selected as the laparoscopic group,and another 40 patients underwent laparotomy perforation repair were selected as the control group at the same period,the amount of bleeding,operation time,postoperative exhaust time, hospitalization time and incidence rate of complication were compared between the two groups. Results The amount of bleeding in the laparoscopic group was significantly less than that in the control group （P〈0.01）,the exhaust time of laparoscopic group was significantly shorter than the control group （P〈0.01）,the hospitalization time of the laparoscopic group was shorter than the control group （P〈0.05）.The incidence rate of complication of the laparoscopic group （5.0%） was significantly lower than that in the control group （P〈0.05）. Conclusion Laparoscopic in treatment of peptic ulcer perforation compared with la-parotomy can reduce the amount of bleeding,reduce the complications incidence,shorten the hospitalization time,pro-mote postoperative recovery,and it is worthy of extensive promotion and application.