腹腔镜和传统开腹手术治疗消化性溃疡穿孔的临床疗效对比

Comparison of clinical efficacy between laparoscopic and conventional open surgery for peptic ulcer perforation

目的:对比分析腹腔镜和传统开腹手术治疗消化性溃疡穿孔的临床疗效。方法:收治消化性溃疡穿孔患者80例,随机平分两组。对照组通过传统开腹手术治疗,试验组通过腹腔镜手术治疗,观察统计两组患者的手术情况。结果:试验组手术进行时间比对照组长,组间比较差异有统计学意义(P<0.05);试验组术中出血量、排气时间和住院时间均低于对照组,组间比较差异有统计学意义(P<0.05);对照组并发症发生率高于试验组,组间比较差异有统计学意义(P<0.05)。结论:腹腔镜和传统开腹手术比较,前者临床疗效更为突出,安全性更高。

Objective:To compare the clinical efficacy of laparoscopic and conventional laparotomy in the treatment of pepticulcer perforation.Methods:80patients with peptic ulcer perforation were seledted.They were randomly divided into the two groupson average.The control group was treated by traditional laparotomy,and the experimental group was treated by laparoscopicsurgery.The operation situation of the two groups was observed and counted.Results:The operation time of the experimental groupwas higher than that of the control group,and the difference between groups was statistically significant(P<0.05).The amount ofbleeding,exhaust time and hospitalization time in the experimental group were lower than those in the control group,and thedifference was statistically significant(P<0.05).The incidence of complications in the control group was higher than that in theexperimental group,and the difference between groups was statistically significant(P<0.05).Conclusion:Laparoscopic surgery iscompared with traditional open surgery,the former has better clinical efficacy and higher safety.