腹腔镜下修补术与开腹手术治疗胃十二指肠溃疡穿孔的疗效比较

Comparison of curative effect between laparoscopic repair and open surgery in the treatment of perforation of gastroduodenal ulcer

目的比较胃采用腹腔镜下修补术与传统开腹手术治疗十二指肠溃疡穿孔的效果。方法选取2018年1月至2019年1月本院收治的74例胃十二指肠穿孔患者,随机分为观察组与对照组,各37例。对照组采用开腹手术治疗,观察组采用腹腔镜下修补术治疗,比较两组治疗效果。结果观察组手术时间、术中出血量、术后排气时间及住院时间均少于对照组,差异有统计学意义(P<0.05);观察组术后2、6、12及24 h VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为5.41%,低于对照组的18.92%,差异有统计学意义(P<0.05)。结论腹腔镜下修补术治疗胃十二指肠溃疡穿孔患者疗效显著,手术时间较短,患者术后疼痛感较轻,并发症较少,术后恢复较快,值得临床推广应用。

Objective To compare the effect of laparoscopic repair and traditional open surgery for gastroduodenal ulcer perforation.Methods A total of 74 patients with gastroduodenal perforation admitted to our hospital from January 2018 to January 2019 were selected and randomly divided into observation group and control group,with 37 cases in each group.The control group was treated with open surgery,and the observation group was treated with laparoscopic repair,the treatment effects of the two groups were compared.Results The operation time,intraoperative blood loss,postoperative exhaust time,and hospitalization time in the observation group were less than those in the control group,and the difference was statistically significant(P<0.05).The observation group's VAS scores at 2,6,12 and 24 hours after operation were lower than the control group,the difference was statistically significant(P<0.05).The postoperative complication rate in the observation group was 5.41%,which was lower than 18.92%in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic repair is effective in treating patients with gastroduodenal ulcer perforation.The operation time is shorter,the postoperative pain is less,the complications are less,and the postoperative recovery is faster.It is worthy of clinical application.