腹腔镜胃十二指肠穿孔修补术临床疗效策略研讨.docVIP

腹腔镜胃十二指肠穿孔修补术临床疗效策略研讨 　[摘要] 目的 探讨腹腔镜胃十二指肠穿孔修补术的临床疗效。 方法 选取2010年9月～2012年9月间我院收治的70例行胃十二指肠穿孔手术患者的临床资料进行回顾性分析，分为观察组和对照组，每组各35例，对照组采用传统开腹手术治疗，观察组采用腹腔镜胃十二指肠穿孔修补术治疗。比较两组的临床治疗效果、手术时间、住院时间、下床活动时间、术中出血量及术后并发症情况。 结果 治疗后，观察组患者临床治疗总有效率为97.14%，显著高于对照组的临床总有效率77.15%，组间比较，差异有统计学意义（Plt;0.05）；观察组患者的手术时间、住院时间、术后下床活动时间及术中出血量显著低于或少于对照组，组间比较，差异有统计学意义（Plt;0.05）；观察组患者术后并发症发生率明显低于对照组，组间比较，差异具有统计学意义（Plt;0.05）。 结论 腹腔镜修补术治疗胃十二指肠穿孔临床疗效显著优于传统开腹手术，可有效缩短患者住院时间，减少手术给患者带来的伤害，降低术后并发症的发生，促使患者早日康复，且手术创伤性小，安全性高，值得临床推广和应用。 　[关键词] 胃十二指肠穿孔；传统开腹手术；腹腔镜；临床疗效 　[中图分类号] R656.62 [文献标识码] B [文章编号] 1673-9701（2015）04-0039-03 　[Abstract] Objective To analyze the clinical effect of gastroduodenal perforation operation. Methods The clinical data of 70 gastroduodenal perforation routine surgical patients were retrospectively analyzed from September 2010 to September 2012 in our hospital， were randomly divided into observation group and control group， 35 cases in each group， control group used traditional open surgery， observation group was treated with laparoscopic repair in the treatment of stomach and duodenal perforation. The clinical effects， the operative time， hospital stay， ambulation time， blood loss and postoperative complications of two groups were analyzed. Results After treatment， the clinical total effective rate of observation group was 97.14%，was significantly higher than the control groups 77.15%， the difference was significantly between two groups（Plt;0.05）； The operative time， hospital time， postoperative ambulation time and blood loss of observation group was significantly lower or shorter than the control group， the difference was significantly between two groups（Plt;0.05）. The incidence of complications of observation group was significantly lower than the control group， the difference was significantly between two groups （Plt;0.05）. Conclusion The clinical efficacy of laparoscopic repair is better than traditional open surgery， can effectively shorten the hospital stay， reduce patient harm and re