【摘要】 目的:探讨经济欠发达地区上消化道穿孔的治疗。方法:用腹腔镜进行上消化道穿孔修补术。结果:手术均获成功,平均手术时间60min,术后2~3d进流质饮食,5~7d出院,7~15d可进行一般的体力劳动,无一例出现并发症。结论:经济欠发达地区上消化道穿孔的特点是病情重、就医晚。腹腔镜下胃、十二指肠球部溃疡穿孔修补术具有对腹内脏器干扰小、术后患者康复快、痛苦小、肠粘连发生率低等优点,值得临床推广应用。更多还原

【Abstract】 Objective : To investigate the feasibility and safety of surgical management with laparoscopy-assisted for treating gastroduodenal ulcer perforation in the economy owes to prosper the area. Methods : Proceed with laparoscopy-assisted for treating gastroduodenal ulcer perforation. Results : The surgical operation all achieves success, the mean operation time was 60 min. Operation after 2~3 days into the liquid diet, 5 ~7 days can be discharged, 7~15 days one can proceed the general manual labor, no one appear the complications. Conclusion : The gastroduodenal ulcer perforation’s choracteristics of the economy owes to prosper the area is the condition of the patient is serious, coming to curing too late. Laparoscopy for treating gastroduodeal ulcer perforation is feasible, safe and mini-invasive and can achieve the same outcomes as the open operation.更多还原