国际医药卫生导报2011，Vol.17Issue(21)：2622-2624,3.DOI:10.3760/cma.j.issn.1007-1245.2011.21.013
腹腔镜与开腹手术治疗胃十二指肠穿孔的疗效比较
The efficacy of laparoscopic surgery versus that of open surgical treatment for gastroduodenal perforation
潘修勇 1夏子泳 1郭居1
作者信息
- 1. 高州市泗水镇卫生院普通外科,525249
- 折叠
摘要
Abstract
Objective To explore the efficacy of laparoscopic surgery and open surgical treatment for gastroduodenal perforation.Methods 72 patients with gastroduodenal perforation who had been hospitalized during the period of January 2008 to June 2011 were randomly assigned to receive endoscopic repair ( study group ) or conventional open surgical repair ( control group ).The efficacy of the two groups were compared.Results Chnical indexes were compared intraoperatively and postoperatively between the two groups.The mean intraoperative blood loss was significantly less in the study group than in the control group ( [13.4 ± 1.4] ml vs.48.5 ± 1.7 )].In addition,time to postoperative flatus and that to ambulation were markedly shorter in the study group than in the control group,the difference being statistically significant ( P ＜ 0.05 ).Rate of abnormal postoperative body temperature was significantly lower in the study group than in the control group ( 7.8％ vs.88.0％ ),the difference being statistically significant ( P ＜ 0.05 ).Conclusions Patients undergoing laparoscopic repair have smaller incision,less pain,slighter abdominal interruption,quicker recovery of gastrointestinal function,and fewer postoperative complications than those receiving conventional open surgical repair.The former procedure is worth popularizing clinically.关键词
腹腔镜/开腹/胃十二指肠/穿孔Key words
Laparoscopy/Laparotomy/Stomach andduodenum/Perforation引用本文复制引用
潘修勇,夏子泳,郭居..腹腔镜与开腹手术治疗胃十二指肠穿孔的疗效比较[J].国际医药卫生导报,2011,17(21):2622-2624,3.
