腹腔镜胃肠穿孔修补术治疗78例胃肠穿孔的临床疗效观察  

Choledocholithotomy Surgery Clinical Efficacy and Safety Evaluation of Laparoscopic

作　　者：石家堃[1] 

机构地区：[1]大连市中心医院,116083

出　　处：《中国继续医学教育》2015年第12期93-94,共2页China Continuing Medical Education

摘　　要：目的：探究与分析腹腔镜胃肠穿孔术治疗胃肠穿孔的临床疗效。方法选取我院自2013年2月～2015年2月收治的156例胃肠穿孔患者，采取随机数字表法分为开腹手术组与腹腔镜手术组，每组各78例，对比两组患者手术时间、术中出血量、术后排气时间、术后住院时间与并发症发生率。结果腹腔镜手术组较开腹手术组相比手术时间明显缩短、术中出血量明显减少、术后排气时间明显缩短、住院时间明显缩短（P＜0.05）。腹腔镜手术组较开腹手术组相比并发症发生率明显减少（P＜0.05）。结论采用腹腔镜胃肠穿孔修补术治疗胃肠穿孔相比于开腹手术组具有更加突出的临床疗效，并发症发生率较低。Objective The clinical efifcacy and safety choledocholithotomy surgery under laparoscopic exploration and analysis.Methods In our hospital from December 2013 to December 2015 were treated 60 cases of patients with common bile duct stones, taken randomly divided into conventional surgery group and laparoscopic surgery group, 30 cases in each group, compared two groups of patients The clinical efficacy and safety.ResultsThe laparoscopic group compared with conventional surgery group compared to shorten operative time, intraoperative blood volume reduction, flatus shortened, shorter postoperative hospital stay, wound infection rate decreased bile rate decreased postoperative analgesic use low rate （P〈0.05）.Conclusion The use of laparoscopic surgery combined choledocholithotomy clinical efifcacy of T-tube drainage in the treatment of common bile duct stones signiifcant, high security, and application should be popularized.

关 键 词：腹腔镜 胃肠修补术 胃肠穿孔 疗效 

分 类 号：R573[医药卫生—消化系统]