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应用腹腔镜施行溃疡病穿孔修补43例临床分析

Clinical analysis of 43 laparoscopic ulcerous perforation repair cases
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摘要 目的探讨腹腔镜胃十二指肠溃疡穿孔修补的效果及其禁忌证。方法分析81例胃十二指肠溃疡穿孔修补术患者的临床资料,其中微创腔镜组43例,传统开腹组38例。分析两组患者的手术时间、术中平均出血量及术后胃肠道恢复时间、并发症发生率、住院时间等。结果两组患者手术均顺利完成,腔镜组无中转开腹。两组患者在手术时间、术中出血量、胃肠功能恢复时间、住院时间的差异均有统计学意义(P<0.01),术后并发症发生率差异无统计学意义(P>0.05)。结论腹腔镜溃疡穿孔修补术具有创伤小、术后恢复快等优点,但要严格掌握禁忌证。 Objective To investigate the clinical effect and contraindication of laparoscopic reparation on peptic ulcer perforation. Methods The clinical data of 81 cases were retrospectively reviewed from Jan 2007 to Dec 2012, including 43 cases performed with laparoscopic repair (laparoseopic group) and 38 cases underwent open surgery (open surgery group). The mean surgery time, blood loss, recovery time of the stomach, intestines function, hospital stay time and the complication rate in these two surgery groups were compared and analyzed. Results Compared with the open surgery group, the mean surgery time, blood loss, recovery time of the stomach and intestines function, and hospital stay time in the laparoscopic group had sta- tistically significant difference (P〈0.01), but the complication rate in the laparoscopic group had no statistically significant difference (P〉0.05). Conclusion The laparoscopic reparation on peptic ulcer perforation has advantages of safety, less trauma and quick recovery, but its contraindication should be strictly under control.
出处 《福建医药杂志》 CAS 2014年第4期25-26,共2页 Fujian Medical Journal
关键词 消化性溃疡穿孔 腹腔镜手术 开腹修补术 peptic ulcer perforation laparoscopy open surgery
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