腹腔镜下与开腹手术行胃穿孔修补术的综合疗效对比分析  

Comparison and analysis of comprehensive curative effect of gastric perforation repair by laparoscope and laparotomy operation

作　　者：陈文[1] 吴雄辉[1] 黄锦远 

机构地区：[1]广东省湛江中心人民医院普外一科,广东湛江524100 [2]广东省湛江肿瘤医院普外科,广东湛江524000

出　　处：《中国医药科学》2015年第16期119-121,共3页China Medicine And Pharmacy

摘　　要：目的探讨腹腔镜下与开腹手术行胃穿孔修补术的综合疗效对比情况。方法分析我院2009年3月-2013年4月收治的67例急性胃穿孔患者临床资料,依据治疗方式的不同进行临床分组,开腹组27例和腹腔镜组40例。结果腹腔镜组术中出血量、下床活动时间、胃肠功能恢复时间、住院时间和冲洗液量均低于开腹组（t=12.37、7.40、8.48、8.32、35.75,P〈0.05）,腹腔镜组感染、穿孔复发、腹腔脓肿发生率均低于开腹组（x2=11.75,11.75,11.75,P〈0.05）,差异均有统计学意义。结论腹腔镜下行胃穿孔修补术创伤较小,术后并发症少,值得临床借鉴应用。Objective To explore comparison of comprehensive curative effect of gastric perforation repair by laparoscope and laparotomy operation. Methods Clinical data of 67 patients with acute gastric perforation who were admitted to our hospital were analyzed and they were allocated to the laparotomy group with 27 cases and the laparoscope group 40 cases according to different treatment methods. Results The intraoperative blood loss, leaving bed time, gastrointestinal function recovery time, hospitalization stays and The volume of rinsing of the laparoscope group were all lower than those of the laparotomy group（t=12.37, 7.40, 8.48, 8.32, 35.75,P〈0.05）. Infection, perforation recurrence and incidence of abdominal abscess of the laparoscope group were lower than those of the laparotomy group（ x2=11.75,11.75, 11.75,P〈0.05）. The difference was statistical significant. Conclusion Gastric perforation repair by laparoscope has fewer trauma and postoperative complications worthy of clinical promotion and application.

关 键 词：腹腔镜 开腹 胃穿孔 修补术 

分 类 号：R656.6[医药卫生—外科学]