腹腔镜胃十二指肠穿孔修补术与开腹手术的临床疗效比较

Efficacy of laparoscopic surgery in treating gastric duodenal ulcer perforation versus open surgery

目的比较腹腔镜胃十二指肠溃疡穿孔修补术与开腹胃十二指肠溃疡穿孔修补术的疗效。方法选取行胃十二指肠溃疡穿孔修补术的67例患者为研究对象,根据手术方式不同分为腹腔镜组(n=25)和开腹组(n=42)。比较2组手术时间、术中失血量、胃肠道功能恢复时间、术后疼痛评分、术后住院时间、围术期并发症发生情况。结果2组手术时间、胃肠道功能恢复时间、术后疼痛评分和术后住院时间比较,差异均有统计学意义(P<0.05);2组术中失血量及术后并发症发生率比较,差异无统计学意义(P>0.05)。结论与开腹手术比较,腹腔镜手术治疗胃十二指肠溃疡穿孔的创伤小、疼痛轻、术后恢复快。

Objective To compare clinical efficacy of laparoscopic surgery and open surgery in treating gastric duodenal ulcer perforation.Method A total of 67 patients underwent repair of gastric duodenal ulcer perforation were selected,and were divided into laparoscopy group(n=25)and laparotomy group(n=42)according to different operation modes.The operation time,intraoperative blood loss,time of gastrointestinal function recovery,postoperative pain score,postoperative hospitalization time and occurrence of perioperative complications were compared in the two groups.Results There were statistically significant differences in the operation time,time of gastrointestinal function recovery,postoperative pain score and postoperative hospitalization time in the two groups(P<0.05).There were no significant differences in intraoperative blood loss and occurrence of perioperative complications in the two groups(P>0.05).Conclusion Laparoscopic procedure has the advantages of minimal invasion,less postoperative pain and faster recovery in treating gastric duodenal ulcer perforation.