腹腔镜与开腹治疗胃十二指肠急性穿孔的疗效分析  

A Retrospective Study Comparing the Laparoscopic versus Open Repair of Perforated Peptic Ulcer

作　　者：麦建全 杨景先 林帆[2] 郑道喜 陈隆武 吕振发 卓武荣 杨晓芳 

机构地区：[1]广东省饶平县人民医院,饶平515700 [2]广州市第一人民医院普外科,广州510180

出　　处：《中国现代手术学杂志》2015年第2期87-89,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的比较开放手术与腹腔镜修补术治疗胃十二指肠穿孔的疗效。方法回顾性总结我院2010年6月到2014年6月收治的128例胃十二指肠溃疡穿孔患者,其中68例行腹腔镜胃十二指肠穿孔修补术,60例行传统开放手术方法治疗。结果腹腔镜组的手术时间为(97.7±24.7)min,明显长于传统开放手术组的(76.6±18.8)min(t=3.068,P<0.05);而腹腔镜组的术后住院天数为(4.8±1.2)d,相比传统开放手术(7.1±4.0)d明显缩短(t=2.434,P<0.05),差异有统计学意义。腹腔镜组术后饮食恢复时间为(3.7±1.3)d,开放组为(4.7±2.2)d,两组比较未见明显差异(t=1.726,P>0.05)。结论腹腔镜胃十二指肠溃疡修补术安全有效,能明显缩短患者术后住院时间。Objective To compare the curative effect of open operation and laparoscopic repair for treatment of gastric and duodenal perforation. Methods From June 2011 to June 2014,128 patients with a clinical diagnosis of perforated peptic ulcer were assigned to undergo either open or laparoscopic repair. Among them,there were 68 cases of laparoscopic repair,and 60 cases of open operation. Results The operation time of laparoscopic repair and traditional open surgery was（ 97. 7 ± 24. 7） min vs.（ 76. 6 ± 18. 8） min,and that of the laparoscopic repair group was significantly longer（ t = 3. 068,P 〈0. 05）. But in contrast,postoperative hospitalization time by laparoscopic group was significantly shorter than the open group,which was（ 4. 8 ±1. 2） days vs.（ 7. 1 ± 4. 0） days（ t = 2. 434,P 〈0. 05）,and the difference was statistically significant. The postoperative diet recovery time had no obvious difference,which was（ 3. 7 ± 1. 3） days vs.（ 4. 7 ± 2. 2） days of the laparoscopic group and the open group（ t = 1. 726,P 〉0. 05）. Conclusion Laparoscopic repair of gastroduodenal ulcer is effective and safe in operation,and can shorten the postoperative hospitalization time.

关 键 词：腹腔镜检查 消化性溃疡 

分 类 号：R656.6[医药卫生—外科学] R616[医药卫生—临床医学]