腹腔镜与开腹十二指肠穿孔修补术的对比研究  

Contrastive Study between Laparoscopic Repair of Duodenal Perforation and Outcomes of Open Correction

作　　者：黄哲[1] 许庆文[1] 蔡朋株 徐飞鹏[1] 林琳[1] 

机构地区：[1]广东医学院附属医院,广东湛江524000

出　　处：《中国医学创新》2015年第31期68-70,共3页Medical Innovation of China

摘　　要：目的:比较腹腔镜与开腹十二指肠穿孔修补术的利弊。方法:回顾性分析2013年1-12月广东医学院附属医院46例确诊为十二指肠穿孔的临床资料,其中20例行腹腔镜下十二指肠穿孔修补术,26例行传统开腹十二指肠穿孔修补术,比较两组术中手术时间、出血量、下床活动时间、术后排气时间、术后并发症、住院时间、住院费用。结果:腹腔镜组与开腹组的术中出血量、手术时间、伤口感染率、肛门排气天数、下床活动时间、住院时间、住院费用比较,差异均有统计学意义(P<0.05)。结论:腹腔镜下十二指肠穿孔修补术是一种安全有效的手术方法。Objective：To investigate outcomes of laparoscopic repair of duodenal perforation compared with outcomes of open correction.Method： A retrospective study was based on 46 patients with symptoms of perforation and evidence of air under the diaphragm in 2013 in the Affiliated Hospital of Guang Dong Medical College. 20 cases underwent laparoscopic correction, and 26 cases were performed open procedure. The operative time, estimated blood loss, discharge gas time, the time of return to activity, complications, length of hospital stay and the cost in hospital were compared respectively.Result： The operative time, estimated blood loss, discharge gas time, the time of return to activity, complications, length of hospital stay and the cost in hospital between the two groups showed significant differences （P〈0.05）.Conclusion：Laparoscopic repair of duodenal perforation is a safe and effective method.

关 键 词：腹腔镜 十二指肠穿孔 

分 类 号：R656.6[医药卫生—外科学]