目的:探讨应用腹腔镜技术治疗胃十二指肠溃疡穿孔的方法和疗效.方法:对16例胃、十二指肠溃疡穿孔患者行腹腔镜诊断,镜下缝合穿孔、放置腹腔引流.结果:15例镜下修补成功,1例因镜下缝合困难中转开腹.无手术并发症,平均手术时间90 min,术后平均住院时间7 d(4～13 d).结论:腹腔镜胃十二指肠溃疡穿孔修补术具有患者痛苦小,损伤轻,术后恢复快,腹腔冲洗引流方便、彻底等优点,具有广泛的临床应用前景.

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