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目的:比较腹腔镜与开腹手术治疗消化性溃疡急性穿孔的临床效果。方法:对腹腔镜手术组19例和开腹组23例患者的手术时间,术中出血量,肠鸣音恢复时间、住院时间、术后使用镇痛剂,术后切口感染等指标进行比较。结果:腹腔镜组中术中出血量,术后肠鸣音恢复时间和术后使用镇痛剂等指标均显著小于开腹组(P<0.05)。结论:腹腔镜手术修补消化性溃疡急性穿孔类有创伤小、康复快、住院时间短等优点,是治疗消化性溃疡穿孔的理想术式。
Objective: To compare the clinical effects of laparoscopic and open surgery for acute perforation of peptic ulcer. Methods: The operation time, intraoperative blood loss, bowel sounds recovery time, hospital stay, postoperative analgesics, postoperative incision infection were compared between 19 cases of laparoscopic surgery group and 23 cases of laparotomy group. Results: The intraoperative blood loss, postoperative bowel sounds recovery time and the use of analgesics after operation were significantly lower than those in the laparotomy group (P <0.05). Conclusion: Laparoscopic surgery to repair acute perforation peptic ulcer trauma, quick recovery, shorter hospital stay, etc., is the ideal surgical treatment of peptic ulcer perforation.