胃十二指肠穿孔手术的治疗方法及效果观察  

The treatment and effect of gastroduodenal perforation

作　　者：詹庆华 蔡伊珊 黄训波 洪晓峰 徐嘉龙 ZHAN Qing-hua;CAI Yi-shan;HUANG Xun-bo(The people＇s Hospital of Chaozhou City,Guangdong Province,Chaozhou 521000,China)

机构地区：[1]广东省潮州市人民医院,广东潮州521000

出　　处：《吉林医学》2018年第6期1122-1123,共2页Jilin Medical Journal

摘　　要：目的:探讨胃十二指肠穿孔的治疗方法及效果。方法:选取收治的78例诊断为胃十二指肠穿孔患者,其中39例行常规开腹修补术为对照组,另39例行腹腔镜修补术为试验组。将两组患者手术时间、切口长度、术后胃肠功能恢复时间、术后并发症与复发几率进行对比。结果:试验组手术时间、切口长度、胃肠功能恢复时间、术后并发症及复发率明显少于对照组,两组比较差异具有统计学意义(P<0.001)。结论:与开腹修补术相比胃十二指肠穿孔患者采取腹腔镜治疗可明显减少手术时间,切口长度更小且更美观,术后胃肠功能恢复更快,术后并发症与复发几率均较低,更适合推广。Objective To observe the treatment and effect of gastroduodenal perforation. Method 78 patients with gastroduodenal perforation diagnosed in our hospital were selected,39 cases of them were treated by routine laparotomy and the other 39 patients underwent laparoscopic repair as the experimental group. The operation time,the length of the incision,the recovery time of the gastrointestinal function after operation,the postoperative complications and the recurrence rate of the two groups were given. Results The operative time,incision length,gastrointestinal function recovery time,postoperative complications and recurrence rate in the experimental group were significantly less than those in the control group,the difference was statistically significant（ P 0. 001）. Conclusion For patients with gastroduodenal perforation,laparoscopic surgery can significantly reduce operation time,shorter incision length and beauty,faster postoperative gastrointestinal function recovery,lower postoperative complications and recurrence probability,and is more suitable for promotion.

关 键 词：胃十二指肠穿孔 腹腔镜 开腹 效果分析 

分 类 号：R656.6[医药卫生—外科学]