腹腔镜手术治疗急性胃十二指肠溃疡穿孔50例疗效分析

Clinical effect of 50 cases of laparoscopic surgery for acute gastric ulcer perforation

目的:探讨腹腔镜手术治疗急性胃十二指肠溃疡穿孔的临床疗效。方法:收治急性胃十二指肠溃疡穿孔患者50例,随机分为观察组和对照组,各25例。对照组应用传统开腹手术治疗,观察组应用腹腔镜手术治疗,比较两组的术中出血量、术后肛门排气时间、住院时间及术后并发症情况。结果:治疗后观察组的术中出血量少于对照组(P<0.05);观察组术后肛门排气时间、住院时间明显短于对照组(P<0.05);治疗结束时观察组并发症少于对照组(P<0.05)。结论:腹腔镜手术治疗急性胃十二指肠溃疡穿孔临床效果良好,能减少出血、缩短住院时间,避免并发症。

Objective:To discuss the clinical effect of laparoscopic surgery for acute gastric ulcer perforation.Methodds:50patients with acute gastric ulcer perforation were selected.They were randomly divided into the observation group and the control group,each of 25 cases.The control group were treated with the traditional open operation.The observation group were treated with laparoscopic operation.The amount of bleeding,postoperative anal exhaust time,hospitalization time and postoperative complications were compared between the two groups.Results:The amount of bleeding in the observation group was less than that of the control group(P<0.05).The postoperative anal exhaust time and hospitalization time of the observation group were significantly shorter than those of the control group(P<0.05).At the end of treatment of complications in the observation group was less than the control group(P<0.05).Conclusion:The clinical effect of laparoscopic surgery for acute gastric ulcer perforation is outstanding.It can reduce the bleeding,shorten the hospital stay,avoid complications.