腹腔镜胃穿孔修补术的临床应用及疗效观察  

Clinical application and curative effect of laparoscopic repair of gastric perforation

作　　者：汤建康 TANG Jian-kang(Department of General Surgery,Guangzhou Hospital of Integrated Chinese and Western Medicine,Guangzhou 510800,China)

机构地区：[1]广州市中西医结合医院普通外科,广东广州510800

出　　处：《腹腔镜外科杂志》2021年第8期576-578,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜手术治疗胃穿孔的疗效。方法:回顾分析2016年1月至2020年12月收治的67例胃穿孔患者的临床资料。将患者分为研究组(n=35,腹腔镜穿孔修补术)与对照组(n=32,开腹手术),对比分析两组术中出血量、手术时间、胃肠功能恢复时间、住院时间及术后肺部感染、切口感染、盆腔脓肿等并发症发生率。结果:与对照组相比,研究组术中出血量少,手术时间、术后胃肠功能恢复时间、住院时间短,术后切口感染率低,两组差异有统计学意义(P<0.05)。结论:腹腔镜穿孔修补术治疗胃穿孔的临床疗效显著,术后康复快,并发症少,值得临床应用。Objective:To explore the surgical application and clinical effects of laparoscopic repair of gastric perforation.Methods:Clinical data of sixty-seven patients with gastric perforation from Jan.2016 to Dec.2020 were retrospectively analyzed.Patients were divided into research group(n=35,laparoscopic repair)and control group(n=32,open repair).The intraoperative blood loss,operative time,gastrointestinal function recovery time,hospital stay as well as the incidence of complications such as pulmonary infection,incision infection and pelvic abscess in two groups were compared and analyzed.Results:The intraoperative blood loss in the research group was less than that in the control group;the operative duration,gastrointestinal function recovery time after surgery and hospital stay in the research group were shorter than those in the control group;the incidence of postoperative incision infection in the research group was lower than that in the control group.The differences were statistically significant between the two groups(P<0.05).Conclusions:Laparoscopic repair has a significant clinical effect on gastric perforation with rapid recovery and few complications.It is worth clinical popularization and application.

关 键 词：胃穿孔 腹腔镜检查 剖腹术 治疗结果 

分 类 号：R656.6+1[医药卫生—外科学]