腹腔镜胃穿孔修补术对患者消化功能及炎性状态的影响  

Effect of laparoscopic repair on digestive function and inflammatory state of patients with gastric perforation

作　　者：刘峰[1] 刘彬霞[1] LIU Feng;LIU Bin-xia(Hancheng People＇s Hospital,Hancheng 715400,China)

机构地区：[1]韩城市人民医院,陕西韩城715400

出　　处：《临床医学研究与实践》2018年第15期60-61,共2页Clinical Research and Practice

摘　　要：目的研究腹腔镜胃穿孔修补术对患者消化功能及炎性状态的影响。方法选择于我院进行胃穿孔修补术的150例患者,随机分为试验组和对照组,各75例。试验组接受腹腔镜胃穿孔修补术,对照组接受小切口开腹修补术。比较两组的手术效果。结果试验组术中转开腹5例,中转开腹率为6.67%。试验组的手术时间、术中出血量、住院时间均优于对照组(P<0.05)。术后24、72 h,试验组血清TNF-α、IL-6、hs-CRP水平明显低于对照组(P<0.05);术后24、72 h,试验组血清胃泌素水平均高于对照组(P<0.05),试验组肛门排气时间、肠鸣音恢复时间均短于对照组(P<0.05)。结论腹腔镜胃穿孔修补术的临床效果较佳,术后患者的消化功能恢复快,对患者的损伤小,炎性反应轻,值得广泛开展。Objective To study the effect of laparoscopic repair on digestive function and inflammatory state of patientswith gastric perforation. Methods A total of 150 patients with gastric perforation were randomly divided into experimentalgroup （75 cases） and control group （75 cases）. The experimental group underwent laparoscopic repair of gastric perforation,and the control group underwent small incision laparotomy repair. The surgical effects were compared between the two groups.Results In the experimental group,5 cases were converted to open operation, the conversion rate was 6.67%. The operation time,intraoperative blood loss and hospital stays in the experimental group were better than those in the control group（P〈0.05）. At 24and 72h after operation, the serum levels of TNF-α, IL-6 and hs-CRP in the experimental group were significantly lower thanthose in the control group（P〈0.05）, and the serum gastrin levels in the experimental group were higher than those in the controlgroup（P〈0.05）. The exhaust time and bowel sounds recovery time in the experimental group were shorter than those in the control group （P〈0.05）. Conclusion The laparoscopic gastric perforation repair has better clinical effect, the digestive function ofthe patients recovers quickly, with small injury and light inflammatory reaction, which is worthy of extensive development.

关 键 词：腹腔镜胃穿孔修补术 小切口开腹修补术 消化功能 炎性状态 

分 类 号：R656.6[医药卫生—外科学]