不同手术方式对上消化道穿孔患者胃肠功能的影响研究  

Effect of different surgical methods on gastrointestinal function of patients with gastric perforation

作　　者：黄晋[1] 于丽 HUANG Jin;YU Li(Department of general surgery,Tianjin Xiqing Hospital,Tianjin 300380,China)

机构地区：[1]天津市西青医院普外科

出　　处：《吉林医学》2019年第7期1448-1450,共3页Jilin Medical Journal

摘　　要：目的:比较胃十二指肠良性疾病所致上消化道穿孔患者采用经腹腔镜修补术与开腹修补术术后胃肠功能的影响。方法:随机选取收治的90例上消化道穿孔患者的临床资料,对照组45例采用开腹修补术治疗,观察组45例采用腹腔镜修补术,分析两组患者术后影响胃肠功能的相关指标,如肠鸣音出现时间、肛门排气时间、住院时间以及胃泌素含量水平。结果:观察组显著优于对照组,差异具有统计学意义(P<0.05)。结论:上消化道穿孔采用经腹腔镜修补术相对于开腹修补术,术后机体胃肠功能影响小,动力恢复快,治疗效果好,明显缩短住院时间,值得临床推广。Objective To compare the effect of laparoscopic repair and open repair on gastrointestinal function in patients with upper gastrointestinal perforation caused by benign gastroduodenal diseases. Method The clinical data of 90 patients with upper gastrointestinal perforation were randomly selected and analyzed.45 patients in the control group were treated with laparotomy,while 45 patients in the observation group were treated with laparoscopy.the related indexes affecting gastrointestinal function,such as the occurrence time of enterorrhagia,anal exhaust time,hospitalization time and gastrin level,were analyzed. Results The observation group was significantly better than the control group,the difference was statistically significant ( P < 0.05). Conclusion Compared with laparotomy,laparoscopic repair of upper gastrointestinal perforation has less effect on gastrointestinal function,faster recovery of power,better therapeutic effect and shorter hospital stay,which is worthy of clinical promotion.

关 键 词：上消化道穿孔 经腹腔镜修补术 开腹修补术 胃肠功能 效果 

分 类 号：R656[医药卫生—外科学]