胃穿孔微创术式与传统开放性修补术对患者胃肠动力的影响  

Effect of minimally invasive gastric perforation and traditional open repair on gastrointestinal motility

作　　者：张学军 Zhang Xuejun(Department of General Surgery,First People' s Hospital,Datun District,Panjin City,Panjin,Liaoning,124200,China)

机构地区：[1]辽宁省盘锦市大洼区第一人民医院普外科,辽宁盘锦124200

出　　处：《当代医学》2019年第2期73-75,共3页Contemporary Medicine

摘　　要：目的总结胃穿孔微创术式与传统开放性修补术对患者胃肠动力的影响,评价两种术式的临床价值。方法选择2015年3月至2017年9月本院收治的90例胃穿孔患者作为研究对象,遵循数字表随机原则分为两组,对照组45例,实施传统开放性修补术治疗,分析组45例,执行腹腔镜微创术式治疗,对比两组临床疗效。结果 (1)分析组手术时间明显长于对照组,差异具有统计学意义(P<0.05),分析组术中出血量、住院时间与费用、排气时间、肠鸣音恢复时间、下床活动时间等数值明显小于对照组,差异具有统计学意义(P<0.05);(2)分析组血清胃泌素水平明显高于对照组,差异具有统计学意义(P<0.05);(3)分析组术后并发症发生率明显低于对照组,差异具有统计学意义(P<0.05)。结论在治疗胃穿孔患者中,相较于传统开放性修补术而言,腹腔镜下微创手术治疗更利于早期改善患者胃肠动力,改善患者血清胃泌素水平,降低并发症,值得临床推广应用。Objective To summarize the effect of minimally invasive gastric perforation and traditional open repair on gastrointestinal motility,and to evaluate the clinical value of the two surgical procedures.Methods From March 2015 to September 2017,90 patients with gastric perforation admitted to our hospital were selected as subjects.They were divided into two groups according to the random principle of digital table,that is,45 patients in the control group were treated with traditional open repair.In the treatment group,45 patients underwent laparoscopic minimally invasive surgery,and the clinical effects were compared between the two groups.Results①The operation time of the analysis group was significantly longer than that of the control group,and the difference was statistically significant(P<0.05).The intraoperative blood loss,hospitalization time and cost,exhaust time,recovery time of bowel sounds,time of getting out of bed,etc.The difference was statistically significant(P<0.05).②The serum gastrin level of the analysis group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).③The postoperative complications occurred in the analysis group.The rate was significantly lower than the control group,and the difference was statistically significant(P<0.05).Conclusion In patients with gastric perforation,compared with traditional open repair,laparoscopic minimally invasive surgery is more conducive to early improvement of gastrointestinal motility,improve serum gastrin levels,reduce complications,and is worthy of clinical promote and application.

关 键 词：胃穿孔 传统开放性修补术 微创手术 胃肠动力 效果 

分 类 号：R656.6[医药卫生—外科学]