腹腔镜下修补术治疗胃十二指肠溃疡急性穿孔的疗效

The Clinical Efficacy and Safety of Laparoscopic Repair for Acute Perforation of Gastric Duodenal Ulcer

目的分析腹腔镜下修补术治疗胃十二指肠溃疡急性穿孔的临床疗效及安全性。方法选取2013年1月-2018年1月本院收治的128例胃十二指肠溃疡急性穿孔患者作为研究对象,将其随机分为两组。对照组64例行开腹修补术,研究组64例行腹腔镜下修补术,比较两组患者术后的效果、恢复、并发症发生等情况以及半年、一年复发情况。结果术后研究组总有效率为96.87%,高于对照组的71.87%,差异具有统计学意义(P<0.05);研究组并发症发生率4.69%,低于对照组23.44%,差异具有统计学意义(P<0.05);研究组术后肛门排气时间、下床活动时间、胃肠功能恢复时间、住院时间和术后半年、一年复发等情况均优于对照组,差异具有统计学意义(P<0.05)。结论腹腔镜下修补术治疗胃十二指肠溃疡急性穿孔疗效显著,且手术时间短、患者恢复快,还能降低溃疡复发率、并发症发生率。

Objective To analyze the clinical efficacy and safety of laparoscopic repair for acute perforation of gastroduodenal ulcer. Methods 128 patients with acute perforation of gastroduodenal ulcer admitted to our hospital from January 2013 to January 2018 were randomly divided into two groups. In the control group, 64 patients underwent laparotomy.64 patients in the study group underwent laparoscopic repair. The effect,recovery, complications and recurrence in half a year and one year were compared between the two groups. Results The total effective rate was 96.87% in the study group, which was higher than 71.87% in the control group, the difference was statistically significant(P < 0.05). The incidence of complications was 4.69% in the study group, which was lower than 23.44% in the control group, the difference was statistically significant(P < 0.05). The anal exhaust time, ambulation time, recovery time of gastrointestinal function, hospitalization time, half a year and one year recurrence of the study group were better than those of the control group, the difference was statistically significant(P < 0.05). Conclusion Laparoscopic repair for acute perforation of gastroduodenal ulcer has a remarkable curative effect, and the operation time is short, the patient recovers quickly, and it can also reduce the recurrence rate of ulcer and the incidence of complications.