【摘要】 目的 :探讨上消化道溃疡穿孔患者应用开腹及腹腔镜上消化道溃疡穿孔修补术的临床效果,分析两种手术术式的临床应用价值。方法 :选取上消化道溃疡穿孔且限期手术患者77例,根据随机原则分成开腹组(n=33)和腹腔镜组(n=44)。观察两组患者手术时间、术中出血量、术后引流量及排气量、术后并发症及疼痛情况。结果 :腹腔镜组患者手术时间及术后排气时间短于开腹组患者,术中出血量、术后1～4 d引流量少于开腹组,术后VAS评分、术后并发症总发生率低于开腹组(P <0.05)。结论 :上消化道溃疡穿孔患者应用腹腔镜修补术相较于开腹修补术具有手术时间短、术后康复快且对机体创伤小等优点。更多还原

【Abstract】 Objective: To investigate the clinical effect of laparotomy and laparoscopy in the repair of gastrointestinal ulcer perforation and analyze the clinical value of the two surgical methods. Methods: Seventy-seven patients with upper gastrointestinal ulcer perforation who underwent limited operation were randomly divided into a laparotomy group(n=33) and a laparoscopic group(n=44). The operation time, intraoperative bleeding volume, postoperative drainage and exhaust volume, postoperative complications and pain were observed. Results: The operation time and exhaust time were shorter, the volume of intraoperative bleeding and drainage at 1-4 days after operation were less and the VAS scores and the total incidence of complications after operation were lower in the laparoscopic group than the laparotomy group(P<0.05). Conclusion: Compared with laparotomy, laparoscopic repair for perforated upper gastrointestinal ulcer has the advantages of shorter operation time, faster recovery and smaller trauma to the body.更多还原