腹腔镜修补术联合高选择性迷走神经切断术治疗十二指肠溃疡穿孔的临床效果

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Abstract Objective To investigate the value of laparoscopic repairing combined with highly selective vagotomy in the treatment of duodenal ulcer perforation.Methods From January 2014 to January 2018,60 patients with duodenal ulcer perforation admitted to our hospital were selected as the study subjects.They were divided into the control group (n=30) and observation group (n=30) using odds or even number method.In the control group,laparoscopic repairing was used,while in the observation group,on the basis of the control group,highly selective vagotomy was added.The clinical efficacy,surgical related indexes and complications were compared between the two groups.Results The total effective rate of the observation group was higher than that of the control group with significant difference (P<0.05).There were no significant differences in the operation time and intraoperative blood loss between the observation group and the control group (P>0.05).The maximum acid output one year after operation was lower than that in the control group with significant difference (P<0.05).The hospital stay time in the observation group was shorter than that in the control group,and the difference was statistically significant (P<0.05).The total incidence of complications in the observation group was lower compared with that in the control group,and the difference was statistically significant (P<0.05).Conclusion Laparoscopic repairing combined with highly selective vagotomy for the treatment of duodenal ulcer perforation is effective by shortening hospital stay time,reducing maximum acid output and alleviating complications.

Key words： Laparoscopic repairing Highly selective vagotomy Duodenal ulcer perforation Mximum acid output

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	Articles by authors
	ZOU Yong
	GONG Zhao-hua
	YE Bo-jian
	LUO Jie-bo

Cite this article:

ZOU Yong,GONG Zhao-hua,YE Bo-jian, et al. Clinical effect of laparoscopic repairing combined with highly selective vagotomy for duodenal ulcer perforation[J]. 中国当代医药, 2020, 27(2): 71-73.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I2/71

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