摘要
目的探讨腹腔镜手术治疗胃十二指肠溃疡穿孔的临床疗效。方法回顾性分析我院收治的108例胃十二指肠溃疡穿孔患者的临床资料,根据手术治疗方法不同分为治疗组和对照组各54例,对照组患者采用开腹手术治疗,治疗组患者采用腹腔镜手术治疗,比较两组的临床疗效。结果治疗组患者的总有效率96.30%,显著高于对照组患者的81.48%,两组比较差异具有统计学意义(P<0.05);治疗组患者手术时间、术中出血量、肛门排气时间和住院时间均显著少于对照组患者(P<0.05);治疗组患者的并发症发生率为7.41%,显著低于对照组患者的22.22%(P<0.05)。结论腹腔镜手术治疗胃十二指肠溃疡穿孔临床效果显著,术中创伤性小,术后恢复快,并发症发生率低。
Objective To evaluate the clinical efficacy of laparoscopic surgery for perforation induced by gastroduodenal ulcer. Methods The clinical data of 108 patients with perforation induced by gastroduodenal ulcer admitted to our hospital were analyzed retrospectively. According to the surgical methods, all cases were divided into the treatment group and the control group, wiht 54 cases in each group. The control group was taken with open surgery, and the treatment group was treated with laparoscopic surgery. The clinical effects of two groups were compared. Results The total efficiency rate of treatment group was 96.30%, significantly higher than 81.48% of control group （P 〈0.05）. The operative time, blood loss, anal exhaust time and hospital stay of treatment group were significantly lower than those of control group （P 〈0.05）. The incidence of complications of treatment group was 7.41%, significantly lower than 22.22% of control group （P〈0.05）. Conclusions The clinical effect of laparoscopic surgery for perforation induced by gastroduodenal ulcer is significant, and it is with small traumatic surgery, faster recovery and low complication rate.
出处
《临床医学工程》
2014年第11期1435-1436,共2页
Clinical Medicine & Engineering
关键词
腹腔镜手术
开腹手术
胃十二指肠溃疡穿孔
Laparoscopic surgery
Open surgery
Perforation induced by gastroduodenal ulcer
