腹腔镜修补术治疗胃十二指肠溃疡穿孔的临床应用价值  

Clinical Application Value of Laparoscopic Repair for Gastroduodenal Ulcer Perforation

作　　者：黄云清 HUANG Yun-qing(Department of Surgery,Third People's Hospital of Pingdu,Qingdao,Shandong Province,266700 China)

机构地区：[1]平度市第三人民医院外科,山东青岛266700

出　　处：《中外医疗》2020年第21期50-52,共3页China & Foreign Medical Treatment

摘　　要：目的分析腹腔镜修补术治疗胃十二指肠溃疡穿孔的临床应用价值,探讨该病的有效术式,为临床治疗提供参考依据。方法便利选取该院2018年5月—2019年5月收治的98例胃十二指肠溃疡穿孔患者,均行手术治疗,根据不同术式分为A组与B组,每组49例,分别行开腹修补术与腹腔镜修补术,对比其临床效果、手术指标以及并发症。结果B组的总有效率(93.9%)高于A组(79.6%),差异有统计学意义(χ^2=4.346,P=0.037)。B组的手术时间、出血量、肛门排气时间、胃肠功能恢复时间、下床活动时间、住院时间(57.8±5.5)min、(10.3±2.1)mL、(15.7±3.2)h、(42.2±11.6)h、(52.5±10.7)h、(6.4±1.1)d少于A组(89.3±8.4)min、(77.2±9.7)mL、(26.3±4.4)h、(63.9±13.1)h、(65.1±14.0)h、(10.3±1.5)d,差异有统计学意义(t=21.961,P=0.000;t=47.185,P=0.000;t=13.638,P=0.000;t=8.681,P=0.000;t=5.005,P=0.000;t=14.677,P=0.000)。B组的并发症发生率(4.1%)低于A组(18.4%),差异有统计学意义(χ^2=5.018,P=0.025)。结论腹腔镜修补术治疗胃十二指肠溃疡穿孔的临床效果显著,可明显改善手术指标,减少并发症,有助于患者早日康复。Objective To analyze the clinical value of laparoscopic repair for gastroduodenal ulcer perforation,to explore the effective surgical method of the disease,and to provide a reference for clinical treatment.Methods A total of 98 patients with gastroduodenal ulcer perforation who were admitted to the hospital from May 2018 to May 2019 were convenienty selected.They were all treated by surgery.They were divided into groups A and B according to different surgical procedures,with 49 cases in each group.Open surgery and laparoscopic repair surgery,compare its clinical effect,surgical indicators and complications.Results The total effective rate of group B(93.9%)was higher than that of group A(79.6%),the difference was statistically significant(χ^2=4.346,P=0.037).Operation time,bleeding volume,anal exhaust time,recovery time of gastrointestinal function,time to get out of bed,hospitalization time(57.8±5.5)min,(10.3±2.1)mL,(15.7±3.2)h,(42.2±11.6)h,(52.5±10.7)h,(6.4±1.1d)d less than group A(89.3±8.4)min,(77.2±9.7)mL,(26.3±4.4)h,(63.9±13.1)h,(65.1±14.0)h,(10.3±1.5)d,the differences are statistically significant(t=21.961,P=0.000;t=47.185,P=0.000;t=13.638,P=0.000;t=8.681,P=0.000;t=5.005,P=0.000;t=14.677,P=0.000).The incidence of complications in group B(4.1%)was lower than that in group A(18.4%),the difference was statistically significant(χ^2=5.018,P=0.025).Conclusion The clinical effect of laparoscopic repair in the treatment of gastroduodenal ulcer perforation is significant,which can significantly improve the surgical index and reduce the complications,which can help the patient to recover as soon as possible.

关 键 词：腹腔镜修补术 胃十二指肠溃疡穿孔 临床效果 手术指标 并发症 

分 类 号：R656.62[医药卫生—外科学]