腹腔镜与开腹上消化道溃疡穿孔修补术的疗效研究
麦昌文;陈代忠;刘抒怀
【期刊名称】《中国医药科学》 【年(卷),期】2015(000)006
【摘要】Objective Digestive tract ulcer perforation repalr of the therapeutic effect of laparoscopic and open on the two kinds of operation mode, explore the value of clinical application. Methods A total of 72 patients with perforation of digestive ulcer in 2010 January to 2014 January were selected on, were randomly divided into laparoscopic operation group 38 cases, 34 cases of abdominal operation group, observe and record the two groups of patients with operation time, postoperative dralnage, exhaust time, postoperative complications and other data and comparison. Results The operation time for patients in the laparoscopic group(55.1±7.7)h, the amount of hemorrhage of(14.2±3.8)mL, the exhaust time of (22.3±6.9)h, the open group in operation time for(83.5±13.2)h, the amount of hemorrhage of(33.7±5.4)mL, time (63.7±16.6)h, with a significant difference between two groups(P<0.05). Patients in the laparoscopic group the incidence of postoperative complications was 5.3%, significantly lower than the open group of 29.4% patients, with significant difference(P < 0.05). Conclusion Compared with open operation, ulcer perforation repalr has the advantages of simple operation, less trauma, faster postoperative