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《Journal of Bethune Medical Science》 2014-03
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Clinical effectiveness comparison of laparoscopic and open surgery in treatment of gastric ulcer perforation

CHEN Xusheng;MO Weifeng;Department of General Surgeries,Houjie Hospital Affiliated to Guangdong Medical College;  
Objective To compare the clinical effectiveness of laparoscopic and open surgery in treatment of gastric ulcer perforation. Methods Ninety-two cases of gastric ulcer perforation were selected in our hospital,and according to the treatment,they were divided into open surgery group and laparoscopic group( n = 46,each). Surgery-related indicators,postoperative gastrointestinal power restoration and the postoperative VAS pain score were compared. Results The hospitalization costs of laparoscopic group were higher than those of the open surgery group( P 0. 01),the amount of bleeding and length of hospital stay of laparoscopic group were less than those of the open surgery group( P 0. 01). GAS level on 24h and 48h of laparoscopic group was higher than that of the open surgery group( P 0. 01),flatus and bowel sounds recovery time were shorter than those of the open surgery group( P 0. 01). The VAS pain score on the first day,third day and 7th day of the laparoscopic group were lower than those of the open surgery group( P 0. 01). Conclusion Laparoscopic surgical treatment of gastric ulcer perforation can shorten hospital stay,reduce the amount of bleeding and relieve postoperative pain with a quick recovery of gastrointestinal motility.
【CateGory Index】: R656.6
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