胃十二指肠溃疡穿孔行腹腔镜修补术与小切口开腹修补术的比较研究  

COMPARATIVE STUDY OF PERFORATED GASTRODUODENAL ULCER TREATED BY LAPAROSCOPIC REPAIR AND MINILAPAROTOMY OPEN REPAIR

作　　者：韩芳[1] 姚国华[1] 孟塬[1] 龚国杰[1] 

机构地区：[1]新疆维吾尔自治区人民医院北院普外科,乌鲁木齐830054

出　　处：《现代预防医学》2011年第23期5034-5035,共2页Modern Preventive Medicine

摘　　要：[目的]比较胃十二指肠溃疡穿孔行腹腔镜修补术与小切口开腹修补术的临床情况。[方法]将某院2009年1月～2010年9月收治的83例胃十二指肠溃疡穿孔患者随机分为两组,对照组41例采用腹腔镜修补术,观察组42例采用小切口开腹修补术,比较分析两组的临床应用情况。[结果]两组患者均手术成功,疗效相当;观察组的手术时间明显短于对照组,但住院时间明显长于对照组,组间差异均有统计学意义(P﹤0.05);两组均无明显并发症发生。[结论]胃十二指肠溃疡穿孔行腹腔镜修补术与小切口开腹修补术均疗效满意,小切口开腹修补术手术时间短,腹腔镜修补术术后恢复快,临床应根据患者情况选择更为适合的手术方案。[Objective]To compare the effect of perforated gastroduodenal ulcer treated by laparoscopic repair and minilaparotomy open repair.[Methods]From January 2009 to September 2010 in our hospital,83 cases of perforated gastroduodenal ulcer were randomly divided into two groups,41 patients in control group treated with laparoscopic repair,42 patients in observation group treated with minilaparotomy open repair,the clinical application of two groups were compared.[Results]All operations were successful,the two groups had similar effect;in the observation group,the operation time was significantly shorter than the control group,but hospital stay was significantly longer than the control group,the differences were statistically significant between two groups（P﹤0.05）;There were no significant complications occurred.[Conclusion]Perforated gastroduodenal ulcer treated by laparoscopic repair and minilaparotomy open repair could get satisfactory curative effect,minilaparotomy open repair with shorter operative time,laparoscopic repair with quicker postoperative recovery,it should choose more suitable surgery program according to the clinical condition of patients.

关 键 词：胃十二指肠溃疡穿孔 腹腔镜修补术 小切口 开腹修补术 

分 类 号：R656.62[医药卫生—外科学]