腹腔镜与开腹胃十二指肠溃疡穿孔修补术的效果比较

苏成，王志化，田明，吴兴安，杨博

（西安医学院附属宝鸡医院，陕西 西安，721006）

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摘要：

目的 分析与对比腹腔镜与开腹胃十二指肠溃疡穿孔修补术的效果。方法 选择本院在2013年3月至2016年3月收治的80例胃十二指肠溃疡穿孔患者为研究对象，根据不同治疗方式分为A组（46例）与B组（34例）。A组患者行腹腔镜修补术，B组患者行开腹修补术。对比两组患者术后并发症发生率、手术相关指标与治疗效果。结果 A组的切口感染、裂开，粘连性梗阻等并发症总发生率为4.35%，低于B组的29.41%（P<0.05）；A组的手术时间、镇痛药物使用例数、肛门排气时间、住院时间与术中出血量均少于B组（P<0.05）；A组的治疗总有效率为95.65%，高于B组的88.24%（P<0.05）。结论 胃十二指肠 溃疡穿孔患者采用腹腔镜修补术治疗术后并发症少，手术时间较短，可减少患者机体的损伤，治疗效果显著。

关键词：腹腔镜手术；开腹手术；胃十二指肠溃疡穿孔；术后并发症

中图分类号：R656.62文献标志码：A文章编号：2096-1413(2017)16-0156-02

Effects comparison of laparoscopic neoplasty and open neoplasty on perforated duodenal ulcer
SU Cheng, WANG Zhi-hua, TIAN Ming, WU Xing-an, YANG Bo
(Baoji Hospital, the Affiliated Hospital of Xi`an Medical University, Xi`an 721006, China)

ABSTRACT: Objective To analyze and compare the effects of laparoscopic neoplasty and open neoplasty on perforated duodenal ulcer. Methods A total of 80 cases of patients performing perforated duodenal ulcer in our hospital from March 2013 to March 2016 were divided into group A and group B according to different treatment methods, with 46 cases in group A and 34 cases in group B. Patients in group A performed laparoscopic neoplasty, while patients in group B accepted open neoplasty, and the postoperative complication, operation indexes and therapeutic effects of the two groups were compared. Results The total incidence rate of complications, such as incision infection and cracked, adhesive obstruction in group A (4.35%) was lower than that in group B (29.41%) (P<0.05); the operation time, cases of using analgesic drug, exhausting time, hospital stays and blood amount intraoperation in group A were less than those in group B (P<0.05); the total effective rate of group A was 95.65% , while of group B was 88.24% , the difference was statistically significant (P<0.05). Conclusion Application of laparoscopic neoplasty in the perforated duodenal ulcer can reduce the injury of body, achieve better clinical efficacy, with less postoperative complication, shorter operation time, which is worthy of clinical promotion.
KEYWORDS: laparoscopic neoplasty; open neoplasty; perforated duodenal ulcer; postoperative complications

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