摘要
目的:总结腹腔镜十二指肠溃疡穿孔修补术的临床经验。方法:回顾分析30例应用腹腔镜十二指肠溃疡穿孔修补术患者的临床资料。结果:本组手术均获成功,无中转开腹病例。手术时间30~90分钟,平均45分钟,术后3~5天拔除胃肠减压及腹腔引流管,术后5~6天进流质饮食。无出血、消化道损伤、切口感染、腹腔脓肿、无肺部感染及感染性休克等并发症,无穿孔部位再渗漏、肠梗阻发生。结论:腹腔镜十二指肠溃疡穿孔修补术治疗急性十二指肠溃疡穿孔具有效果肯定,安全可靠,具有良好的临床应用价值,可作为治疗十二指肠球部溃疡穿孔的首选术式。
Objective:To investigate the clinical experience of laparoscopic repair of duodenal bulb ulcer perforation.Methods:The clinical data of 30 patients with laparoscopic repair of duodenal bulb ulcer perforation were retrospectively analyzed.Results:The operations of this group were successfully completed without open surgery.The operation time was 30 to 90 minutes,the average time was 45 minutes.Gastrointestinal decompression and peritoneal drainage were removed in 3 to 5 days after operation.Patients were eating liquid diet in 5 to 6 days after operation.There were no complications,such as bleeding,gastrointestinal injury,incision infection,intraperitoneal abscess and so on.Also there were the following complications,such as leakage at the site of perforation,intestinal obstruction,pulmonary infection and septic shock and so on.Conclusion:The clinical effect of laparoscopic duodenal ulcer perforation repair in the treatment of acute perforated duodenal ulcer is significant.It is safe and reliable,has a good clinical application value,so it can be used as the preferred surgical treatment of duodenal bulb ulcer perforation.
