腹腔镜手术治疗急性胃十二指肠溃疡穿孔的临床疗效观察.docVIP

精品论文 参考文献 腹腔镜手术治疗急性胃十二指肠溃疡穿孔的临床疗效观察 南京医科大学附属无锡市第二人民医院 江苏无锡 214002 　　【摘 要】目的：本文主要探讨腹腔镜手术治疗急性胃十二指肠溃疡穿孔临床应用价值。方法：在我院2013年1月至2014年12月期间所收治的急性胃十二指肠溃疡穿孔患者中选取60例作为此次研究对象,随机分为观察组和对照组，对照组患者进行开腹手术治疗，观察组患者进行腹腔镜手术治疗，比较两组患者的治疗效果。结果：观察组患者在住院天数、肠蠕动恢复时间、术中出血量、手术时间以及并发症发生率等方面明显优于对照组患者，Plt;0.05，差异具有统计学意义。结论：对于急性胃十二指肠溃疡穿孔患者而言，进行腹腔镜手术治疗，有助于提高患者的治疗效果，缩短患者的住院时间和手术时间，减少患者术中的出血量，降低患者术后并发症发生率，具有一定的应用价值和治疗优势，值得大力推广使用。 　　【关键词】急性胃十二指肠溃疡穿孔；腹腔镜手术；开腹手术；出血量；手术时间 　　【中图分类号】R656.6+2 【文献标识码】B 【文章编号】1674-8999（2015）6-0197-02 　　【Abstract 】objective: this article mainly discusses the laparoscopic surgery for acute gastroduodenal ulcer perforation clinical application value. Methods: in our hospital during January 2013 to December 2014 in patients with acute gastroduodenal ulcer perforation treated by selecting 60 cases as the research object, and randomly divided into observation group and control group, control group patients with open operation treatment, the observation group of patients undergoing laparoscopic surgery, compare the treatment effect of two groups of patients. Results: the observation group of patients in hospitalization days, intestinal peristalsis recovery time, intraoperative blood loss, operative time and complication rates is better than that in control group patients, P lt; 0.05, the difference is statistically significant. Conclusion: for patients with acute gastroduodenal ulcer perforation, laparoscopic surgery treatment, help to improve the therapeutic effect of patients, shorten the hospitalization time of patients and operation time, reduce the perioperative blood loss in patients, patients with lower incidence of postoperative complications, has certain application value and treatment of advantages, is worth promoting. 　　【key words】acute gastroduodenal ulcer perforation; Laparoscopic surgery; Open operation. The bleeding; The operation time 　　急性胃十二指肠溃疡穿孔是临床常见的外科急腹症，具有变化快、病情重、起病急等特点，近年来，急性胃十二指肠溃疡穿孔患者数量也呈逐渐上升的趋势，如果不能得到及时有效的治疗，将会严重影响患者的生活质量，甚至威胁到患者的生命安全。本次研究选取60例急性胃十二指