[精品]腹腔镜与开腹手术治疗消化性溃疡穿孔的效果对比.doc

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1、腹腔镜与开腹手术治疗消化性溃疡穿孔的效果对比腹腔镜与开腹手术治疗消化性溃疡穿孔的效果对比［摘耍］目的对比分析腹腔镜与开腹手术治疗消化性溃疡穿孔的手术效果。方法选取2011年1月〜2013年1月在本院行腹腔镜穿孔修补术的患者40例作为腹腔镜组，另选择同期在本院行开腹子穿孔修补术的40例患者作为对照组，比较两组患者的手术时间、术屮出血量、术后排气时间、住院时间及并发症发生情况。结果腹腔镜组患者的术中出血量明显少于对照组（P<0.01）；术后排气时间明显短于对照组（P〈0・01）、住院时间短于对照组（P〈0・05）,腹腔镜组的并发症发生率仅为

2、5.0%,明显低于对照组（TX0.05）。结论腹腔镜胃十二指肠溃疡穿孔修补术较开腹手术能减少术中出血量、降低术后发症发生率、缩短住院时间、促进患者术后的恢复，值得临床推广应用。［关键词］消化性溃疡穿孔；腹腔镜；升腹手术；并发症［中图分类号］R573.1［文献标识码］A［文章编号］1674-4721（2014）09（b）-0040-03ComparisonontheeffectoflaparoscopicandlaparotomyintreatmentofpepticulcerperforationYUQing-songDepartmen

3、tofSurgery,theSecondTraditionalChineseMedicineHospitaiinJiangsuProvince,Nanjing210017,China［Abstract］ObjectiveTocomparetheeffectoflaparoscopicand1aparotomyintreatmentofpepticulcerperforation.Methods40patientswithunderwentlaparoscopicperforationrepairfromJanuary2011toJanu

4、ary2013inourhospitalwereseiectedasthelaparoscopicgroup,andanother40patientsunderwent1aparotomyperforationrepairwereselectedasthecontrolgroupatthesameperiod,theamountofbleeding,operationtime,postoperativeexhausttime,hospitalizationtimeandincidencerateofcomp1icationwerecom

5、paredbetweenthetwogroups・ResultsTheamountofbleedinginthe1aparoscopicgroupwassignificantlylessthanthatinthecontrolgroup(P<0.01),theexhausttimeoflaparoscopicgroupwassignificantlyshorterthanthecontrolgroup(P<0.01),thehospitalizationtimeofthelaparoscopicgroupwasshorterthanth

6、econtrolgroup(P<0.05)・Theincidencerateofcomplicationofthelaparoscopicgroup(5.0%)wassignificantlylowerthanthatinthecontrolgroup(卩〈0.05)・ConclusionLaparoscopicintreatmentofpepticulcerperforationcomparedwithlaparotomycanreducetheamountofbleeding,reducethecomplicationsincide

7、nce,shortenthehospitalizationtime,promotepostoperativerecovery,anditisworthyofextensivepromotionandapplication.［Keywords］Pepticulcerperforation；Laparoscopy；laparotomy；Complication消化性溃疡穿孔起病急、病情重、变化快、多需要紧急处理［1］。急诊手术以传统开腹修补术为主，但具有创伤大、病情恢复慢、术后并发症较多等缺点［2］。近年来，随着腹腔镜在腹部外科的广泛应用，

8、腹腔镜胃十二指肠溃疡穿孔修补术以其创伤小、恢复快、并发症少的优点已经被广泛应用于临床［3］。本研究通过对比分析腹腔镜胃十二指肠溃疡穿孔修补术与开腹胃十二指肠溃疡穿孔修补术的疗效，从而为消化性溃疡穿孔治疗方法