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腹腔镜胃十二指肠溃疡穿孔修补术的效果分析(1)
http://www.100md.com 2012年2月25日 丁爱民 王海鹏
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     [摘要] 目的 探讨腹腔镜胃十二指肠溃疡穿孔修补术的临床应用效果。 方法 将我院120例胃十二指肠溃疡穿孔患者随机分为治疗组及对照组,对照组患者采用传统术式,治疗组采用腹腔镜胃十二指肠溃疡穿孔修补术。并对两组患者的手术时间、术中出血量、肠蠕动恢复时间、术后住院时间及术后并发症进行分析。 结果 经过治疗,两组患者切口均一期愈合,无死亡病例,治疗组患者的手术时间、术中出血量、肠蠕动恢复时间、术后住院时间及术后并发症明显少于对照组,差异均有统计学意义(均P < 0.05)。 结论 胃十二指肠溃疡穿孔修补术具有手术创伤小、操作简单、安全可靠,术后感染率低,术后恢复快等特点,值得临床推广应用。

    [关键词] 腹腔镜;胃十二指肠溃疡穿孔;修补术

    [中图分类号] R573 [文献标识码] A [文章编号] 1673-7210(2012)02(c)-0062-02

    Effect analysis of laparoscopic gastric ulcer perforation repair

    DING Aimin1 WANG Haipeng2

    1.Department of General Surgery, the People′s Hospital of Yangshuo County, Guangxi Zhuang Autonomous Region, Yangshuo 541900, China; 2.Department of Gastrointestinal Surgery, the Affiliated Hospital of Guilin Medical College, Guangxi Zhuang Autonomous Region, Guilin 541001, China

    [Abstract] Objective To discuss the clinical application effect of laparoscopic gastric ulcer perforation repair. Methods 120 patients with gastric ulcer perforation were randomly divided into treatment group and control group in our hospital, the control group was treated by traditional operation, the treatment group was treated with laparoscopic gastric ulcer perforation repair. The operation time, blood loss, bowel movement recovery time, postoperative hospital stay and postoperative complications were analyzed in the two groups. Results After treatment, all wounds got primary healing in two groups, no death case was found. The operation time, blood loss, bowel movement recovery time, postoperative hospital stay and postoperative complications in the treatment group were significantly less than those in the control group, the differences were statistically significant (all P < 0.05). Conclusion Gastric ulcer perforation repair has the characteristics of minimally invasive surgery, simple, safe and reliable operation, less postoperative infection rate, rapid postoperative recovery, and so on, it is worthy of clinic application.

    [Key words] Laparoscopy; Gastric ulcer perforation; Repair

    胃十二指肠溃疡穿孔作为一种常见的普外科临床疾病,表现出了发病快,病情严重,甚至对生命有威胁的程度,以往传统的治疗是通过开腹手术或者其他的保守治疗方式,治疗效果并不明显。Mouret等[1]在1990年第一次引用腹腔镜来完成该病症的治疗。当前,应用腹腔镜来给予消化性溃疡穿孔修补术,在临床上已具备良好和丰富的成功经验[2] ......

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