腹腔镜与开腹手术在老年十二指肠溃疡穿孔患者中的应用

Comparative study the laparoscope surgery and open surgery in elderly duodenal ulcer perforation patients

目的:探讨对老年十二指肠溃疡穿孔患者给予腹腔镜穿孔修补术与传统开腹手术治疗的临床效果。方法:对收治的60例十二指肠溃疡穿孔患者进行观察,将采用腹腔镜穿孔修补术治疗的30例患者设为研究组,将采用传统开腹穿孔修补术治疗的30例患者设为参照组。观察比较两组患者治疗效果。结果:研究组的手术时间、出血量、肠胃蠕动恢复时间、下床活动时间、住院时间、疼痛视觉模拟法(VAS评分)均低于参照组(P<0.05);研究组治疗总有效率、并发症发生率分别为96.67%、6.67%,优于参照组的73.33%、30.00%,差异有统计学意义(P<0.05)。结论:腹腔镜穿孔修补术治疗的效果优于开腹手术,其对患者创伤小,手术时间、住院时间短,术中出血量少,并发症少,患者术后恢复快。

Objective：To compare the clinical effects of laparoscopic perforation repair and traditional open surgery in the treatment of elderly patients with duodenal ulcer perforation. Methods：60 cases of patients with duodenal ulcer perforation who admitted in hospital, 30 patients who were treated with laparoscopic perforation repair were enrolled as the research group,30 patients who were treated with traditional open abdominal puncture repair were enrolled as the reference group. the treatment effects between the two groups were observed and compared. Results：The operation time, bleeding volume, recovery time of gastrointestinal motility, activity time of off-bed, hospital stay time and Pain visual simulation（VAS score） in the research group were lower than the reference group（P〈0.05）. The total effective rate and the complication rate of the research group were 96.67 %, 6.67%, which was better than the reference group 73.33%,30.00%,The difference is statistically significant（P〈0.05）. Conclusion：The treatment effect of Laparoscopic perforation repair is better than the open surgery, which has less trauma for patients, shorter operation time and hospital stay time, less intraoperative blood loss, fewer complications, and faster postoperative recovery.