腹腔镜修补术联合高选择性迷走神经切断术治疗十二指肠溃疡穿孔的临床效果  

Clinical effect of laparoscopic repairing combined with highly selective vagotomy for duodenal ulcer perforation

作　　者：邹涌 巩照华 叶伯健 罗杰波 ZOU Yong;GONG Zhao-hua;YE Bo-jian;LUO Jie-bo(Department of General Surgery,Chancheng Hospital of the First People′s Hospital of Foshan,Guangdong Province,Foshan 528061,China)

机构地区：[1]广东省佛山市第一人民医院禅城医院综合外科

出　　处：《中国当代医药》2020年第2期71-73,共3页China Modern Medicine

摘　　要：目的探讨腹腔镜修补术联合高选择性迷走神经切断术在十二指肠溃疡穿孔治疗中的价值。方法选取2014年1月~2018年1月我院收治的60例十二指肠溃疡穿孔为研究对象,采取单双号编号法将其分为对照组(n=30)与观察组(n=30),对照组实施腹腔镜修补术进行治疗,观察组在对照组基础上连用高选择性迷走神经切断术协同治疗。比较两组临床疗效、手术相关指标及并发症发生情况。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05)。观察组手术时间及术中出血量与对照组比较,差异无统计学意义(P>0.05)。观察组术后1年最大酸排出量低于对照组,差异有统计学意义(P<0.05)。观察组住院时间短于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论运用腹腔镜修补术联合高选择性迷走神经切断术治疗十二指肠溃疡穿孔,疗效确切,减少住院时间,降低最大酸排出量及缓解并发症情况。Objective To investigate the value of laparoscopic repairing combined with highly selective vagotomy in the treatment of duodenal ulcer perforation.Methods From January 2014 to January 2018,60 patients with duodenal ulcer perforation admitted to our hospital were selected as the study subjects.They were divided into the control group(n=30)and observation group(n=30)using odds or even number method.In the control group,laparoscopic repairing was used,while in the observation group,on the basis of the control group,highly selective vagotomy was added.The clinical efficacy,surgical related indexes and complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group with significant difference(P<0.05).There were no significant differences in the operation time and intraoperative blood loss between the observation group and the control group(P>0.05).The maximum acid output one year after operation was lower than that in the control group with significant difference(P<0.05).The hospital stay time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was lower compared with that in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic repairing combined with highly selective vagotomy for the treatment of duodenal ulcer perforation is effective by shortening hospital stay time,reducing maximum acid output and alleviating complications.

关 键 词：腹腔镜修补术 高选择性迷走神经切断术 十二指肠溃疡穿孔 最大酸排出量 

分 类 号：R657.4[医药卫生—外科学]