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腹腔镜胃十二指肠溃疡穿孔修补术临床疗效分析 被引量:7

Clinical curative effect analysis of laparoscopic neoplasty in the treatment of gastroduodenal ulcer perforation
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摘要 目的:探讨腹腔镜胃十二指肠溃疡穿孔修补术的应用价值.方法:48例胃十二指肠溃疡穿孔患者中,腹腔镜修补术(腔镜组)18例,开腹修补术(开腹组)30例.观察2组患者术中和术后情况.结果:腔镜组在切口长度、术中出血量、术后疼痛评分、肠蠕动恢复时间、镇痛药使用例数和术后住院时间均优于开腹组(P〈0.05~P〈0.01).2组手术时间和术后并发症差异均无统计学意义(P〉0.05).结论:腹腔镜胃十二指肠溃疡穿孔修补术临床疗效确切,安全性高,创伤小,恢复快,值得临床推广应用. Objective: To investigate the application value of laparoseopic neoplasty in the treatment of gastroduodenal ulcer perforation. Methods: In 48 cases with gastroduodenal ulcer perforation, 18 cases were repaired by laparoscopy ( laparoscpy group) and 30 cases were treated with laparotomy ( open group). The intraoperative and postoperative situations of two groups were observed and compared. Results: The incision length, intraoperative blood loss, postoperative pain score, enterocinesia recovery time and postoperative hospital stay in laparosepy group were better than those in open group(P 〈0.05 to P 〈0.01 ). The differences of operation time and postoperative complications in two groups were not statisticalty significant(P 〉 0.05 ). Conclusions:The laparoseopic neoplasty in the treatment of gastroduodenal ulcer perforation is good effects, high safety, less trauma and fast recovery, which is worthy of clinical popularization and application.
作者 张舒龙 朱勇
出处 《蚌埠医学院学报》 CAS 2014年第1期83-85,共3页 Journal of Bengbu Medical College
关键词 胃十二指肠溃疡 穿孔 腹腔镜术 gastroduodenal ulcer laparoseopy perforation
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