腹腔镜下行胃十二指肠穿孔修补术的临床分析

Clinical analysis of laparoscopic repair of gastroduodenal perforation

目的探索分析腹腔镜下行胃十二指肠穿孔修补术的临床效果。方法选择2014年2月到2015年3月期间在我院进行治疗的60例急性胃十二指肠穿孔患者为研究对象,将其随机分为观察组和对照组,每组各30例患者,对照组患者行开腹手术,观察组患者于腹腔镜下行胃十二指肠穿孔修补术,对比2组临床效果。结果观察组患者术后并发症发生率为3.3%,显著低于对照组的30.3%,观察组的手术时间、术中出血量、住院时间显著短于对照组,以上差畀均具有统计学意义(P<0.05)。结论腹腔镜下行胃十二指肠穿孔修补术临床效果显著,创伤小,术中出血量少,有效的缩短了住院时间,值得进行临床推广。

Objective to explore analysis the clinical effect of laparoscopic downward gastroduodenal perforation repair.Methods during February 2014 to March 2015 in our hospital for treatment of 60 cases of patients with acute gastroduodenal perforation as the research object,its were randomly divided into observation group and control group,each group 30 cases,control group patients open operation,observation group of patients with laparoscopic downward gastroduodenal perforation repair,compared two groups of clinical effect.Results the observation group of patients the incidence of postoperative complications was 3.3%,significantly lower than the control group,30.3%of the group of operation time,intraoperative blood loss,hospital stay was significantly shorter than the control group,the above differences are statistically significant(P < 0.05).Conclusions laparoscopic downward gastroduodenal perforation repair clinical effect is remarkable,small trauma,less intraoperative blood loss,effectively shorten the length of hospital stay,worth clinical promotion.