腹腔镜与开腹上消化道溃疡穿孔修补术疗效研究.docVIP

腹腔镜与开腹上消化道溃疡穿孔修补术疗效研究 　　[摘要] 目的 比较腹腔镜与开腹上消化道溃疡穿孔修补术的治疗效果，探讨两种手术方式的临床应用价值。 方法 选择2010年1月～2014年1月收治的上消化道溃疡穿孔患者共72例，随机分为腹腔镜手术组38例，开腹手术组34例，观察并记录两组患者手术时间、术后引流量、排气时间、术后并发症等资料并进行比较。 结果 腹腔镜组患者手术时间为（55.1±7.7）h、术中出血量为（14.2±3.8）mL、排气时间为（22.3±6.9）h，开腹组患者手术时间为（83.5±13.2）h、术中出血量为（33.7±5.4）mL、排气时间为（63.7±16.6）h，两组差异具有统计学意义（P0.05）。腹腔镜组患者术后并发症的发生率为5.3%，明显低于开腹组组患者的29.4%，差异具有统计学意义（P0.05）。 结论 相比开腹手术，腹腔镜上消化道溃疡穿孔修补术具有操作简单、创伤小、术后康复快等优势，值得临床推广应用。 　　[关键词] 腹腔镜；开腹手术；上消化道溃疡穿孔修补术；疗效 　　[中图分类号] R656.6 [文献标识码] B [文章编号] 2095-0616（2015）06-141-03 　　The research on the efficacy of laparoscopic and open peptic ulcer perforation repair 　　MAI Changwen CHEN Daizhong LIU Shuhuai 　　Department of General Surgery， Chencun Hospital Affiliated to the First Peoples Hospital of Shunde District， Foshan 523800， China 　　[Abstract] Objective Digestive tract ulcer perforation repair of the therapeutic effect of laparoscopic and open on the two kinds of operation mode， explore the value of clinical application. Methods A total of 72 patients with perforation of digestive ulcer in 2010 January to 2014 January were selected on， were randomly divided into laparoscopic operation group 38 cases， 34 cases of abdominal operation group， observe and record the two groups of patients with operation time， postoperative drainage， exhaust time， postoperative complications and other data and comparison. Results The operation time for patients in the laparoscopic group（55.1±7.7）h， the amount of hemorrhage of（14.2±3.8）mL， the exhaust time of （22.3±6.9）h， the open group in operation time for（83.5±13.2）h， the amount of hemorrhage of（33.7±5.4）mL， time （63.7±16.6）h， with a significant difference between two groups（P0.05）. Patients in the laparoscopic group the incidence of postoperative complications was 5.3%， significantly lower than the open group of 29.4% patients， with significant difference（P0.05）. Conclusion Compared with open operation， ulcer perforation repair has the advantages of simple operation， less trauma， faster post