Comparison of the effect of laparoscope and open operation in the treatment of acute perforation of peptic ulcer
10.3760/cma.j.issn.1008-6706.2013.10.033
- VernacularTitle:腹腔镜与开腹手术治疗消化性溃疡急性穿孔疗效比较
- Author:
Yongjun ZENG
- Publication Type:Journal Article
- Keywords:
Digestive ulcer;
Open operation;
Laparoscopy;
Acute perforation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(10):1513-1514
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of laparoscope and open operation in the treatment of acute perforation of peptic ulcer.Methods Clinical data of 56 peptic ulcer patients were retrospectively analyzed.30 patients (group A) received laparoscopic treatment,26 cases(group B) received traditional open operation treatment.Operation time,hospitalization time,postoperative exhaust time,ambulation time,frequency of using analgesics after operation,incidence rate of complications and the cost of hospitalization were compared between the two groups.Results In A group,the hospitalization time was (4.5 ± 1.4) d,postoperative exhaust time was (23.9 ± 7.2) h,time to ambulation was (14.1 ± 5.6)h,frequency of postoperative analgesic use was 16.7％,the incidence rate of complications was 0,which were better than those in the control group(11.6 ± 7.5) d,(37.6 ± 17.9) h,(43.4 ± 11.8) h,92.3％,19.2％ (t =4.23,4.54,6.32,x2 =3.78,4.45,all P ＜ 0.05).Operation time,white blood cell count and cost of hospitalization between two groups showed no significant differences(P ＞ 0.05).Conclusion Laparoscope in treatment of acute perforation of peptic ulcer has advantages of less trauma,less complications,quicker recovery,shorter hospitalization time and good clinical effect.This operation mode is relatively ideal,and is worth the clinical promotion.
