腹腔镜下胃十二指肠溃疡穿孔微创修补术与开放式修补术对胃肠道溃疡穿孔患者胃肠动力的影响比较  

Comparison of effects of laparoscopic minimally invasive repair of gastric and duodenal ulcer perforation and open repair on gastrointestinal motility in patients with gastrointestinal ulcer perforation

作　　者：霍霆 张丽柯[2] HUO Ting;ZHANG Like(General Surgery Department,Yichuan People's Hospital,Luoyang 471300;Gastrointestinal Surgery Department,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]伊川县人民医院普外科,河南洛阳471300 [2]河南科技大学第一附属医院胃肠外科,河南洛阳471000

出　　处：《临床医学研究与实践》2022年第23期78-80,共3页Clinical Research and Practice

摘　　要：目的比较腹腔镜下胃十二指肠溃疡穿孔微创修补术与开放式修补术对胃肠道溃疡穿孔患者胃肠动力的影响。方法采用随机抽签法将136例胃肠道溃疡穿孔患者分为观察组和对照组,各68例。观察组采取腹腔镜下胃十二指肠溃疡穿孔微创修补术,对照组采取开放式修补术。比较两组的手术相关指标、胃肠动力指标、胃肠激素水平、术后并发症发生情况。结果观察组的切口长度、手术时间、下床活动时间及住院时间显著短于对照组,失血量显著少于对照组(P<0.05)。观察组的肠鸣音恢复时间、肛门排气时间及胃肠减压解除时间显著短于对照组(P<0.05)。术后1个月,两组的胃泌素(GAS)、生长抑素(SS)、胃动素(MOT)水平均显著高于术前,且观察组高于对照组(P<0.05)。观察组的术后并发症总发生率低于对照组(P<0.05)。结论腹腔镜下胃十二指肠溃疡穿孔微创修补术治疗胃肠道溃疡穿孔的效果良好,能够缩短术后康复进程,改善患者的胃肠动力和胃肠激素水平,提高手术安全性。Objective To compare the effects of laparoscopic minimally invasive repair of gastric and duodenal ulcer perforation and open repair on gastrointestinal motility in patients with gastrointestinal ulcer perforation.Methods A toal of 136 patients with gastrointestinal ulcer perforation were divided into observation group and control group according to the random lottery method,with 68 cases in each group.The observation group was treated with laparoscopic minimally invasive repair of gastric and duodenal ulcer perforation,and the control group was treated with open repair.The operation related indexes,gastrointestinal motility indexes,gastrointestinal hormones levels and occurrence of postoperative complications were compared between the two groups.Results The incision length,operation time,off-bed ambulation time and hospitalization time in the observation group were significantly shorter than those in the control group,and the blood loss was significantly less than that in the control group(P<0.05).The recovery time of bowel sounds,anal exhaust time and relief time of gastrointestinal decompression in the observation group were significantly shorter than those in the control group(P<0.05).One month after operation,the levels of gastrin(GAS),somatostatin(SS)and motilin(MOT)in the two groups were significantly higher than those before operation,and those in the observation group were higher than the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion The laparoscopic minimally invasive repair of gastric and duodenal ulcer perforation in the treatment of gastrointestinal ulcer perforation has good effect,which can shorten the postoperative rehabilitation process,improve the gastrointestinal motility and gastrointestinal hormones levels of patients,and improve the safety of operation.

关 键 词：腹腔镜 胃十二指肠溃疡穿孔微创修补术 开放式修补术 胃肠道溃疡穿孔 胃肠动力 

分 类 号：R656.6[医药卫生—外科学]