腹腔镜修补术与开腹修补术治疗胃穿孔的临床效果对比  

Comparison of clinical effect of laparoscopic repair and open repair in the treatment of gastric perforation

作　　者：王众 WANG Zhong(General Surgery Department,Yingkou Central Hospital,Yingkou 115000,China)

机构地区：[1]营口市中心医院普外一科,115000

出　　处：《中国现代药物应用》2022年第2期33-35,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探究腹腔镜修补术与开腹修补术治疗胃穿孔的临床效果。方法76例胃穿孔患者,以随机数字表法分为对照组与观察组,各38例。对照组实施开腹修补术,观察组实施腹腔镜修补术。比较两组手术指标、临床指标、手术满意度、并发症发生率。结果观察组术中出血量少于对照组,手术时间、住院时间短于对照组,差异有统计学意义(P<0.05)。观察组肠鸣音恢复时间(12.37±3.28)h、肛门排气时间(59.12±6.34)h短于对照组的(26.41±7.84)、(84.25±10.74)h,手术满意度评分(89.36±15.37)分高于对照组的(68.29±10.23)分,差异有统计学意义(P<0.05)。观察组并发症发生率2.63%低于对照组的23.68%,差异有统计学意义(P<0.05)。结论对胃穿孔患者实施腹腔镜修补术具有良好效果,可以更好地改善手术指标与临床指标,提高患者满意程度。Objective To investigate the clinical effect of laparoscopic repair and open repair in the treatment of gastric perforation.Methods A total of 76 patients with gastric perforation were divided into control group and observation group by random numerical table,with 38 cases in each group.Open repair was performed in the control group,and laparoscopic repair was performed in the observation group.The surgical indicators,clinical indicators,surgical satisfaction,and complication rates were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,and the operation time and hospitalization time were shorter than those of the control group.All the differences were statistically significant(P<0.05).The recovery time of bowel sounds(12.37±3.28)h and anal exhaust time(59.12±6.34)h in the observation group were shorter than(26.41±7.84)and(84.25±10.74)h in the control group,and the surgical satisfaction score(89.36±15.37)points was higher than(68.29±10.23)points in the control group.All the differences were statistically significant(P<0.05).The complication rates 2.63% in the observation group was lower than 23.68% in the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic repair has good effect on patients with gastric perforation,which can improve the surgical indicators and clinical indicators,and improve patient satisfaction.

关 键 词：胃穿孔 腹腔镜修补术 开腹修补术 手术指标 并发症 

分 类 号：R656.61[医药卫生—外科学]