摘要
目的:探讨腹腔镜手术治疗老年非典型胃、十二指肠溃疡穿孔的临床意义。方法:回顾分析2010年1月至2019年12月为37例老年非典型胃、十二指肠溃疡穿孔患者行腹腔镜穿孔修补术的临床资料(腹腔镜组),并选择同期41例行开腹穿孔修补术的患者作为对照组(开腹组),对比两组手术时间、术中出血量、术后排气时间、下床活动时间、住院时间及术后切口感染、胸腔积液、腹腔脓肿等并发症情况。结果:腹腔镜组术中出血量、术后排气时间、下床活动时间、住院时间均少于开腹组,差异有统计学意义(P<0.05)。结论:腹腔镜技术具有创伤小、康复快等优点,对于老年非典型胃、十二指肠溃疡穿孔患者具有较高的诊疗意义,值得推广应用。
Objective:To explore the clinical significance of laparoscopic operation in the treatment of atypical gastric and duodenal ulcer perforation in the elderly.Methods:The clinical data of aged patients with atypical perforation of gastroduodenal ulcer from Jan.2010 to Dec.2019 were retrospectively analyzed.37 patients underwent laparoscopic perforation repair(laparoscopic group) and 41 patients underwent open perforation repair(open group).The operative time,intraoperative blood loss,postoperative exhaust time,postoperative ambulation time,hospital stay,and the postoperative complications such as incision infection,pleural effusion,abdominal abscess and so on were analyzed and compared between the two groups.Results:The intraoperative blood loss,the postoperative exhaust time,the postoperative ambulation time,the hospital stay of laparoscopic group were significantly less than those of open group(P<0.05).Conclusions:Laparoscopic technique has the advantages of few trauma,quick recovery,and is of great significance in the diagnosis and treatment of elderly patients with atypical perforation of gastroduodenal ulcer,laparoscopy is worth generalization and application.
作者
张学勇
ZHANG Xue-yong(Department of General Surgery,Yanggu Chinese Medicine Hospital,Liaocheng 252300,China)
出处
《腹腔镜外科杂志》
2021年第2期97-100,共4页
Journal of Laparoscopic Surgery
