【摘要】 目的探讨腹腔镜下胃穿孔修补术在胃溃疡穿孔治疗中的可行性。方法对我院2010年1月至2014年12月间行因良性胃溃疡穿孔分别采用腹腔镜手术和开腹治疗治疗的患者临床资料进行回顾性分析,分成2组,腹腔镜为一组:A组,患者50例,传统开腹手术治疗为一组:B组,患者50例,比较两组之间手术时间、住院时间、术后胃肠功能恢复时间、伤口感染率、有无腹腔内感染、有无术后肠梗阻改变等,术后随访2个月复查胃镜情况。结果在A组中平均手术时间(55±2. 41)分钟、住院时间(8±1. 12)天、术后胃肠功能恢复时间(1±0. 33)天、伤口感染率2%(1/50),无腹腔内积液,无术后肠梗阻改变,术后2月复查胃镜见原溃疡修补处完全瘢痕愈合,A组与B组比较腹部无明显瘢痕,住院时间缩短,术后胃肠功能恢复快,无伤口感染,两组手术时间比较无差异,术后2个月复查均见溃疡完全瘢痕愈合。结论两种手术方法治疗效果一致,腹腔镜法术后腹部无瘢痕美观,术后恢复快,住院时间短,伤口感染率低,并发症少,明显优于传统开腹穿孔修补治疗,更值得推广应用。更多还原

【Abstract】 Objective The objective is to explore the feasibility of laparoscopic gastric perforation repair in the treatment of gastric ulcer perforation. Methods We retrospectively analyzed the clinical data of patients with benign gastric ulcer perforation treated by laparoscopic surgery and laparotomy from January 2010 to December 2014,divided into two groups: laparoscopic group( A group) : 50 patients,conventional open surgery group( B group) : 50 patients. The time of operation,hospital stay,recovery time of gastrointestinal function,wound infection rate,intraperitoneal infection,with or without postoperative intestinal obstruction change were compared between the two groups,the patients were followed up for 2 months to review the gastroscopy. Results In A group The mean operative time was( 55 ± 2. 41) minutes,hospital stay was( 8 ± 1. 12) days,the time of gastrointestinal function recovery was( 1 ± 0. 33) days,the wound infection rate was2%( 1/50),no postoperative intestinal obstruction changes,2 months after the review were seen complete ulcer scar healing,A group and B group compared with no obvious abdominal scar,shortened hospital stay,rapid recovery of gastrointestinal function after surgery,No wound infection,the two groups were no difference in the time of surgery,2 months after the review were seen complete ulcer scar healing. Conclusion The results of the two methods are the same. There is no scar in the abdomen after laparoscopic surgery. The wound healing rate is shorter,the wound healing rate is shorter and the complication is less,and is better than traditional open-hole repair.更多还原