腹腔镜与传统开腹手术治疗胃十二指肠溃疡穿孔的疗效比较  

Comparison on Effects between Laparoscope and Traditional Open Operation in Treating Gastroduodenal Ulcer Perforation

作　　者：张小亮[1] 吴波[1] 

机构地区：[1]江苏省泗洪县人民医院外科七病区,江苏宿迁223900

出　　处：《临床医学工程》2016年第11期1447-1448,共2页Clinical Medicine & Engineering

摘　　要：目的分析比较腹腔镜与传统开腹手术治疗胃十二指肠溃疡穿孔的临床效果。方法选取我院2012年5月至2015年4月收治的胃十二指肠溃疡穿孔患者80例,随机分为两组各40例。观察组行腹腔镜修补术治疗,对照组行传统开腹手术治疗。比较分析两组患者的疗效及并发症发生率。结果观察组的失血量、住院时间、下床时间以及术后镇痛例数显著少于对照组,差异具有统计学意义(P<0.05);两组的手术时间和住院费用比较差异无统计学意义(P>0.05);观察组的并发症发生率显著低于对照组,差异具有统计学意义(P<0.05)。结论采用腹腔镜修补术治疗胃十二指肠溃疡穿孔的治疗效果显著高于传统开腹手术,术后并发症的发生率显著降低,值得进行临床推广。Objective To compare and analyze the clinical effects between laparoscope and traditional open operation in the treatment of gastroduodenal ulcer perforation. Methods 80 cases of patients with gastroduodenal ulcer perforation admitted to our hospital from May 2012 to April 2015 were selected and randomly divided into two groups, with 40 cases in each group. The observation group received laparoscopic neoplasty, while the control group received traditional open operation. The curative effect and incidence of complications of patients were compared between two groups. Results The blood loss, hospitalization time, ambulation time and cases of postoperative analgesia of observation group were significantly less than those of control group, with statistical differences （P 〈0.05）. No statistical difference was found in the operation time and hospitalization expenses between two groups （P 〉0.05）. The incidence of complications of observation group was significantly lower than that of control group （P 〈0.05）. Conclusions The treatment effect of laparoscopic neoplasty in the treatment of gastroduodenal ulcer perforation was more significant than that of traditional open operation, with significant lower incidence of postoperative complications, which is worthy of clinical promotion.

关 键 词：胃十二指肠溃疡穿孔 腹腔镜 开腹手术 疗效 

分 类 号：R656.62[医药卫生—外科学]