腹腔镜与开腹手术修补胃十二指肠穿孔的疗效比较  

To compare the effection of the treatment of gastric perforation repair between traditional way and using the laparoscopic way

作　　者：陈永年[1] 罗光辉[1] 何军强[1] 吴赛芬[1] 张玉松[1] 

机构地区：[1]南方医科大学附属新会医院普通外科,广东省江门529100

出　　处：《中国基层医药》2012年第1期33-34,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的比较腹腔镜与传统胃十二指肠穿孔修补术的效果，探讨腹腔镜下行胃十二指肠穿孔修补术的可行性与优越性。方法将68例胃十二指肠穿孔患者分成两组，分别行腹腔镜胃十二指肠穿孔修补术（腔镜组）及开腹修补术（传统组），对比两组的治疗效果。结果两组手术均成功。手术时间腔镜组为（65．30±3．1）min，传统组为（55．2±3．6）min；术中出血量腔镜组为（11．5±8．4）ml，传统组为（38．2±10．7）ml；术后3d引流量腔镜组为（324-1．3）ml，传统组为（81±2．5）ml；瘢痕长度腔镜组为（1．6±0．2）cm，传统组为（12．3±3．1）cm；住院时间腔镜组为（5±2）d，传统组为（9±2）d。差异均有统计学意义。结论相对传统开腹手术而言，腹腔镜下胃十二指肠穿孔修补术具有创伤小、痛苦轻、恢复快、住院时间短、疗效高及美容效果好等优势。Objective Comparing gastric perforation repair with traditional contrast,to explore the feasibility and superiority of the laparoscopic gastric perforation repair. Methods 68 cases were randomly divided into two groups for laparoscopic gastric perforation repair and traditional repair,then compared two groups of treatment. Results Both operations were successful （ including laparoscopic repair in 34 cases） and surgery time, blood loss, postoperative drainage,length of stay, and cosmetic results of the comparison. Conclusion Compared with the traditional open surgery, the laparoscopic surgery had less trauma, less pain, faster recovery, shorter hospital stay, high efficacy and good cosmetic results and other advantages.

关 键 词：十二指肠疾病 修复外科手术 腹腔镜 

分 类 号：R656.6[医药卫生—外科学]