腹腔镜与开腹手术治疗上消化道溃疡穿孔的对照研究  

The comparison between laparoscopic and open surgery in peptic ulcer perforation

作　　者：胡敏超[1] 余健雄[1] 司徒升[1] 

机构地区：[1]开平市中心医院,广东开平529300

出　　处：《腹腔镜外科杂志》2008年第3期213-214,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜治疗上消化道溃疡穿孔的可行性和效果。方法:回顾分析本院2005年1月至2007年3月24例腹腔镜手术以及36例开腹手术治疗上消化道溃疡穿孔患者的临床资料,并进行对照研究。结果:全部病例均手术成功。腹腔镜组与开腹组的术后使用镇痛药使用率分别为4.2%和41.7%(P<0.01);术后胃肠功能恢复时间平均为29h和62h(P<0.001);平均住院时间为7.3d和9.8d(P<0.01);术后并发症发生率分别为0和16.7%(P<0.05)。两组均治愈出院,术后3个月复查胃镜均未见溃疡复发。结论:经腹腔镜行上消化道溃疡穿孔修补术与传统开腹手术相比,具有疼痛轻,康复快,并发症少等优点,是安全、有效的治疗方法。Objective： To explore the feasibility and effect of laparoscopic surgery in peptic ulcer perforation. Methods. Twenty- four cases were operated by laparoscopy and 36 cases were performed open repair. Results：All cases were succeeded. The postoperative requirement of analgesic in laparoscopic group and open group was 4.2% and 41.7% （ P 〈 0.01 ） ; the recovery time of gastrointestinal function was 29h and 62h （ P 〈 0.001 ） ; the mean time of hospitalization was 7.3d and 9.8d （ P 〈 0.01 ） ; the complications were 0 and 16.7% （P 〈 0.05 ）. Conclusions：The laparoscopic repair is a safe and efficient minimally invasive method for peptic ulcer perforation.

关 键 词：腹腔镜术 溃疡 消化性 治疗结果 

分 类 号：R656.62[医药卫生—外科学]