腹腔镜下十二指肠球部溃疡穿孔修补术治疗体会(附58例报告)  

Retrospective Analysis of 58 Patients Undergoing Laparoscopic Repair of Duodenal Bulbar Ulcer Perforation

作　　者：郭久冰[1] 纪程宏[1] 徐文军[1] 颜松龄[1] 张道建[1] 陈刚[1] 王华斌[1] 

机构地区：[1]福建省厦门市第二医院普外科,厦门361026

出　　处：《临床消化病杂志》2009年第2期76-77,共2页Chinese Journal of Clinical Gastroenterology

摘　　要：目的总结腹腔镜下穿孔修补术治疗十二指肠球部溃疡急性穿孔的临床经验。方法2004年7月至2008年7月,本院对58例十二指肠球部溃疡急性穿孔患者施行了腹腔镜下穿孔修补术。结果58例十二指肠球部溃疡穿孔者,穿孔直径0.2～0.6cm,手术时间60～90min,手术均获成功。术后常规抗幽门螺杆菌及抗溃疡治疗,术后患者疼痛轻微,均未使用止痛剂。术后患者经过顺利,住院5～8d,平均7d,切口均一期愈合,痊愈出院。结论腹腔镜手术治疗急性十二指肠球部溃疡穿孔与开腹手术同样安全有效。Objective To summarize the clinical experience of laparoscopic repair of duodenal bulbar ulcer perforation. Methods Between July 2004 and July 2008,58 patients with duodenal bulbar ulcer acute perforation were operated on with a laparoscopic approach. Results 58 patients were suffer from duodenal bulbar ulcer acute perforation. The diameter of perforation was 0.2-0.6 cm, the operative time arranged from 60 to 90 minutes. All cases were succeessfully carried out with laparoscopic approach. After operation proton pump inhibiter and antihelicobacter pylori therapy were routine used. Slight incisional pain and administration of postoperative pain medication was not used. Postoperative recovery was smooth. The mean hospital stay was 7 days （ range ：5-8）. All the patients were discharged after their incision was healed by primary intention. Conclusion Laparo-scopic repair of acute perforated duodenal bulbar ulcer is as safe and effective as the open approach.

关 键 词：十二指肠溃疡 腹腔镜 溃疡穿孔 修补术 手术 

分 类 号：R656.6[医药卫生—外科学]