胃十二指肠溃疡穿孔腹腔镜与开腹手术的对比研究

Comparative Study on Laparoscopic and Open Surgery Perforated Gastric or Duodenal Ulcer

目的比较胃十二指肠溃疡穿孔腹腔镜与开腹手术的优缺点和临床效果。方法收集分析我院消化外科收治的114例行胃十二指肠溃疡穿孔手术患者的资料,根据患者病情及意愿分为开腹式组和腹腔镜组。其中开腹式组51例,腹腔镜组63例,比较两组患者的手术时间、出血量住院时间及住院费用等。结果两组患者手术均顺利完成。腹腔镜组中有1例患者中转开腹,未发生电灼伤、脏器损伤等手术并发症。腹腔镜组出血量、住院时间、术后感染率显著少于开腹式手术,且差异均具有统计学意义(P<0.05)。开腹式手术时间较短,住院费用略少,但与腹腔镜组比无统计学差异(P>0.05)。结论腹腔镜手术治疗胃十二指肠溃疡穿孔与开腹式手术相比有出血量少、住院时间短、术后感染率小等优点。

Objective Comparison of gastroduodenal ulcer perforation laparoscopy with the advantages and disadvantages of open surgery and clinical results. Methods Digestive surgery in our hospital treated 114 patients with perforated gastric or duodenal ulcer surgery were collected and analyzed,according to the patient＇s condition and will divided into open and laparoscopic groups. Open Group 51,63 cases of laparoscopic group,compared two groups of patients,surgery,blood loss in hospital and medical expenses,and so on. Results Two groups of patients were successfully completed. Laparoscopic conversion to laparotomy in Group1 patients and no electric Burns,organ damage and other complications.Bleeding laparoscopic group,length of stay,postoperative infection rateis significantly lower than the open abdominal surgery,and the difference is statistically significant（P〈0.05）. Open abdominal surgery time is shorter,slightly less cost,but no significant difference compared with the laparoscopic group（P〉0.05）. Conclusion The laparoscopic surgery for gastric and duodenal perforated ulcer compared with open abdominal surgery has less blood loss,shorter hospital stay,postoperative infection rate advantages.