腹腔镜下消化道穿孔的临床治疗效果观察  

Clinical Observation of the Effect of Laparoscopic Treatment of Digestive Tract Perforation

作　　者：曾海敬[1] 吴祖光[1] ZENG Hai-jing;WU Zu-guang(Department of gastrointestinal Tract of Meizhou People's Hospital,Meizhou 514000 China)

机构地区：[1]梅州市人民医院,广东梅州514000

出　　处：《现代诊断与治疗》2017年第15期2750-2752,共3页Modern Diagnosis and Treatment

摘　　要：目的研究腹腔镜下消化道穿孔的临床治疗效果。方法选取我院2013年1月~2015年12月收治的100例消化道穿孔患者。分为对照组和观察组各50例。对照组采取开腹手术进行消化道穿孔修补治疗,观察组采取腹腔镜下消化道穿孔修补治疗。比较两组患者手术不良事件的发生率、术后止痛药物应用率;穿孔修补过程失血量、病灶的找寻时间、手术切口长度、术后恢复流食时间、住院天数;术前和术后患者躯体、情感、健康状况等生活质量维度评分的差异。结果观察组相较于对照组手术不良事件的发生率、术后止痛药物应用率更低(P<0.05);观察组相较于对照组术中失血量更少,病灶的找寻时间更短,手术切口长度更小,术后恢复流食时间更短,住院天数更少(P<0.05);术前两组躯体、情感、健康状况等生活质量维度评分相似(P>0.05);术后观察组相较于对照组躯体、情感、健康状况等生活质量维度评分改善更显著(P<0.05)。结论腹腔镜下消化道穿孔的临床治疗效果确切,手术创伤低,切口小,可减少手术出血量,缩短手术时间,还可加速患者术后康复,缩短住院时间,减轻患者痛苦,提升其术后生活质量,值得推广。Objective To study the clinical therapeutic effect of laparoscopic digestive tract perforation.Methods A retrospective analysis was performed on100patients with digestive tract perforation in ourhospital from January2013~2015to December.The traditional group was treated with open surgery fordigestive tract perforation,and the laparoscopic group was treated with laparoscopic repair of digestivetract perforation.Comparison of two groups of patients with adverse events and drug application rate,postoperative pain rate;perforation repair process of blood loss,the search time,lesion length of incision,postoperative recovery time,hospital stay liquid patients;differences of body,emotion,health andquality of life scores before and after operation.Results The incidence of postoperative analgesic use andlower rate of laparoscopic group compared with the traditional surgery group of adverse events(P<0.05);the laparoscopic group compared with the conventional group perforation repair process less blood loss,shorter time to find the lesion,the incision length is smaller,then shorter postoperative recovery time,hospitalization time less than(P<0.05);two groups preoperative body,emotion,health condition,quality of life scores was similar to that of(P>0.05);after the laparoscopic group compared with thetraditional group of body,emotion,health and quality of life scores improved significantly(P<0.05).Conclusion The clinical effect of laparoscopic digestive tract perforation exact,surgical trauma is low,small incision,can reduce the amount of hemorrhage,shorten the operation time,but also can acceleratethe rehabilitation of patients,shorten the hospitalization time,relieve pain and improve the postoperativequality of life,worthy of promotion.

关 键 词：腹腔镜 消化道穿孔 疗效 

分 类 号：R656.61[医药卫生—外科学]