腹腔镜下穿孔修补术治疗十二指肠穿孔的手术效果分析

Perforation repair surgery under laparoscope for duodenal perforation

目的分析对十二指肠穿孔患者应用腹腔镜下穿孔修补术进行治疗的临床手术效果。方法选自我院2010年至2012年收治的十二指肠穿孔患者共50例，以随机的方式分为对照组与观察组，每组各25例。观察组患者接受腹腔镜下穿孔修补术进行治疗，对照组患者接受传统开腹穿孔修补术进行治疗，对比2组患者的手术治疗效果。结果观察组患者的各项手术指标相对于对照组患者均有显著优异性，两者对比具有统计学意义（P〈0．05）。结论对十二指肠穿孔患者应用腹腔镜下穿孔修补术进行治疗，具有突出的临床手术效果且术后恢复时间短，并发症出现概率低，值得临床推广。

Objective To explore the efficacy perforation repair surgery under laparoscopy tor duodenal perforation. Methods 50 patients with duodenal perforation admitted into our hospital from 2010 to 2012 were randomly divided into a control group and a observation group, 25 for each group. The observation group were treated with perforation repair surgery under laparoscope, while the control group via laparotomy. The efficacies were compared between the two groups. Results All the indicators were much better in the observation group than in the control group, with statistical differences（P 〈 0.05）. Conclusions Perforation repair surgery under laparoscope for duodenal perforation is quite effective, can shorten the patients＇ recovery time lower the incidence of complications, and is worth being clinically generalized.