腹腔镜技术在消化性溃疡穿孔治疗中的应用

Application of laparoscopic technique in the treatment of peptic ulcer perforation

目的：探讨腹腔镜技术在消化性溃疡穿孔治疗中的应用价值。方法：对应用腹腔镜技术治疗消化性溃疡穿孔的患者（观察组）及开腹手术的患者（对照组）的临床资料进行分析，并对两组治疗效果进行对比。结果：两组患者手术时间、术中出血量、术后排气时间、术后下床活动时间、切口大小、术后切口感染及住院时间等指标比较，差异有统计学意义（ P〈0.05）。所有患者获得有效随访，随访时间3-28个月，术后未见明显并发症。结论：应用腹腔镜技术治疗消化性溃疡穿孔安全可靠，创伤小，出血少，恢复快，并发症少，住院时间短，是一种理想的手术方法，效果满意。

Objective：To investigate the application value of Laparoscopic technique in the treatment of peptic ulcer perforation.Methods：Clinical data of patients with peptic ulcer perforation treated by Laparoscopic technique （ observation group） and laparotomy （ control group） were analyzed. And the treatment outcomes of the two groups were compared. Results：There were statistical significance of operation time, intraoperative bleeding volume, postoperative exhaust time, postoperative activity time, incision size, postoperative infection and length of stay, and other indicators between the two groups （ P〈0.05） . All the patients obtained effective follow-up visit from 3 to 28 months, and there was no significant complication after the operation. Conclusion：The application of Laparoscopic technique in the treatment of peptic ulcer perforation is safe and reliable, which has minimal trauma, less bleeding, quick recovery, less complication, short hospitalization time. It is an ideal operation method with satisfactory effect.