【摘要】 目的 探讨腹腔镜下胃、十二指肠球部溃疡穿孔修补术的治疗。方法 在腹腔镜监视下，使用超声刀技术较充分暴露溃疡穿孔部位，尽量吸净腹腔内溢处的胃肠内容物后，在腹腔镜下行胃、十二指肠球部溃疡穿孔修补术。结果 手术均获成功，平均手术时间60min，术后2~3天进流质饮食，5~7天出院，无一例出现并发症。结论 腹腔镜下胃、十二指肠球部溃疡穿孔修补术具有对腹内脏器干扰小，术后患者康复快、痛苦小、肠粘连发生率低等优点，值得临床推广应用。

    【关键词】 腹腔镜；消化性溃疡穿孔；治疗

    The clinic application of laparoscopy in treating gastroduodenal ulcer preforation:a report of 24 cases

    PANG Dian-fu,GONG La-mei,ZHANG Ke-nan,et al.Department of Gastrointestinal Surgery,Jingzhou Hospital,Tongji Medical College,Huazhong University of Science and Technology,Jingzhou 434020,China

    【Abstract】 Objective To investigate the feasibility and safety of surgical management with laparoscopy-assisted for treating gastroduodenal ulcer perforation.Methods Clinic data of 24 cases with laparoscory-assisted meding gastroduodenal ulcer were reviewed from January 2002 to June 2005.Results 24 cases were treated by surgery successfully,the mean operation time was 60±30 min.Conclusion Laparoscopy for treating gastroduodeal ulcer perforation is feasible,safe and mini-invasive and can achieve the same outcomes as the open operation. ......