腹腔镜与开腹治疗十二指肠急性穿孔的疗效分析

Effect of laparoscopic repair and laparotomy for acute perforation of duodenal ulcer

目的比较腹腔镜与开腹手术治疗十二指肠溃疡急性穿孔的治疗效果。方法对本院收治的90例十二指肠溃疡急性穿孔患者的临床资料进行回顾分析,随机分为腹腔镜组和开腹组,各45例,分别采取腹腔镜和开腹手术修补穿孔,观察比较两组患者的手术时间、切口长度、出血量、术后排气时间、术后住院时间、术后并发症、C反应蛋白,并做统计学分析。结果与开腹组相比,腹腔镜组的术中手术时间、切口长度、术后住院时间均显著缩短,出血量更少,术后并发症更低,C反应蛋白水平更低,差异具有统计学意义(P<0.05)。结论腹腔镜十二指肠溃疡急性穿孔修补术具有安全有效、损伤小、恢复快等优点,值得推广。

Objective To analyze the curative effect of laparoscopic and laparoscopic repair in treating acute perforation of duodenal ulcer. Methods 90 patients with acute perforation of duodenal ulcer were analyzed retrospectively. Patients were divided into lapaxoscopic group （lapaxoscopieduodenal ulcer repair） and laparotomy group （laparoscopieduodenal ulcer repair）, and each group contained 45 csaes. Length of incision, postop- erative hospital stay, the blood loss of operation, CRP and complication rate between the two groups were compared. Results Compared with the open surgery, length of incision, and postoperative hospital stay of the laparoscopic group were significantly shotter, the blood loss of operation signif- icantly descread. CRP after surgery increased obviously, and complication rate were significantly less in laparoscopic group than those in laparotomy group（P〈0.05）. Conclusion laparoscopic perforation repair has advantages of safety, less damage, fewer postoperative complications and quicker recovery than those in laparotomy.