摘要
目的:比较腹腔镜与开腹手术治疗消化性溃疡急性穿孔的临床效果。方法:对腹腔镜手术组19例和开腹组23例患者的手术时间,术中出血量,肠鸣音恢复时间、住院时间、术后使用镇痛剂,术后切口感染等指标进行比较。结果:腹腔镜组中术中出血量,术后肠鸣音恢复时间和术后使用镇痛剂等指标均显著小于开腹组(P<0.05)。结论:腹腔镜手术修补消化性溃疡急性穿孔类有创伤小、康复快、住院时间短等优点,是治疗消化性溃疡穿孔的理想术式。
Objective： To compare the difference of effect between the laparoscopic and laparotomy procedure in treatment for patients with acute peptic ulcer perforation. Methods： Analyzing the operation time, operative bleeding, bowel sound recovery time, length of hospital stay, postoperative sedative usage and postoperative incision infection rate both in 19 patients received laparoscopic procedure and 29 cases received open laparotomy. Results： The operative bleeding, bowel sound recovery time, and postoperative sedative usage in laparoscopic group were significantly less than them in open laparotomy group（P〈0.05）. Conclusion： Laparoscopic procedure has less damage, quicker recovery, and shorter hospitalization, in repairing the acute peptic ulcer perforation, and is the ideal treatment for acute peptic ulcer perforation.
出处
《华西医学》
CAS
2009年第7期1651-1653,共3页
West China Medical Journal
