胃十二指肠溃疡穿孔治疗方式的探讨(附300例报告)
溃疡,穿孔；非手术治疗；腹腔镜修补术；开腹修补术,,溃疡，穿孔；非手术治疗；腹腔镜修补术；开腹修补术,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨胃十二指肠溃疡穿孔疾病非手术治疗、腹腔镜修补术、开腹手术等各种治疗方法的特点，患者疼痛程度、肠蠕动恢复时间、并发症、住院时间、住院花费及预后。方法：回顾性分析近6年来胃十二指肠溃疡穿孔患者三种治疗方法，进行随机抽取病例各100例。结果：胃十二指肠溃疡穿孔疾病非手术治疗患者疼痛较重，发热时间长，不能明确穿孔性质，并发症较多。腹腔镜下缝合修补溃疡穿孔均获成功,无死亡病例,并发症少，癌性穿孔患者及时开腹手术治疗，患者术后疼痛轻，发热时间短。开腹手术者，术后疼痛重，住院时间长，并发症多。三种治疗方法复发率相似。结论：腹腔镜消化性溃疡穿孔修补术创伤小,并发症少,操作简单,且集诊断及治疗于一体,显示了微创外科的优越性,是目前治疗消化性溃疡穿孔的最佳方法。【关键词】 溃疡，穿孔；非手术治疗；腹腔镜修补术；开腹修补术
The exploration of treatment modality for perforated duodenal ulcer:a report of 300 cases
LI Yingjun,SUN Yulan,SUN Yuanhua,et al.
Xintai County People's Hospital,Xintai 271200,China
【Abstract】 Objective:To explore the features of nonoperative treatment,laparoscopic neoplasty and open neoplasty.Methods:Retrospectively analyzed 100 cases in three modalities respectively which were randomly drawn from the database in recent six years.Results:Patients treated by nonoperation had severe ache and fevere for a longer time.The nature of perforation was not clear and their complications were more.Laparoscopic neoplasty were successful and no death occurred.In laparoscopic modality complications were less,conversion to open operation was in time for carcinomatous perforation,postoperative ache was slight and the time of fever was less.However for patients with open operation the ache was severe,hospital stay was longer and complications was more than laparoscopic modality.The rate of recurrence was almost equal in three modalities.Conclusions:Laparoscopic neoplasty shows priority due to its minimal invasion which combine diagnosis with treatment.It is the best modality to be spred at present for perforated duodenal ulcer. ......
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