腹腔镜上消化道溃疡穿孔修补术69例临床疗效分析  

Clinical effect of laparoscopic repair of gastrointestinal ulcer perforation in 69 cases

作　　者：苗旺 朱守同 苏瑞洋 MIAO Wang;ZHU Shoutong;SU Ruiyang(Department of General surgery,Peixian People's Hospital,Peixian County,Xuzhou,Jiangsu,221600,China)

机构地区：[1]沛县人民医院普外科,江苏徐州221600

出　　处：《当代医学》2022年第18期55-58,共4页Contemporary Medicine

摘　　要：目的 探究腹腔镜上消化道溃疡穿孔修补术的临床疗效。方法 选取2019年1月至2020年12月本院收治的69例消化道溃疡穿孔患者作为研究对象,按随机数字表法分为对照组(行开腹手术,n=34)与观察组(行腹腔镜手术,n=35)。比较两组手术时间、术中出血量、术后康复情况(排气时间、下床时间及住院时间)、C反应蛋白(CRP)及并发症发生情况。结果 两组手术时间比较差异无统计学意义;观察组术中出血量明显少于对照组(P<0.05)。观察组排气时间、下床时间及住院时间均明显短于对照组(P<0.05)。术前,两组CRP水平比较差异无统计学意义;术后1 d,观察组CRP水平明显低于对照组(P<0.05)。观察组并发症发生率为23.53%,低于对照组的2.86%(P<0.05)。结论 腹腔镜上消化道溃疡穿孔修补术具有微创、术后康复快、对患者造成的应激反应小、安全性高等优势,值得临床推广应用。Objective To explore the clinical efficacy of laparoscopic repair of gastrointestinal ulcer perforation.Methods 69 patients with peptic ulcer perforation admitted to our hospital from January 2019 to December 2020 were selected as the research subjects,and they were divided into the control group(open surgery,n=34) and the observation group(laparoscopic surgery,n=35) according to the random number table method.The operation time,intraoperative blood loss,postoperative recovery(exhaustion time,getting out of bed time and hospitalization time),C-reactive protein(CRP) and complications were compared between the two groups.Results There was no significant difference in the operation time between the two groups;the intraoperative blood loss in the observation group was significantly less than that in the control group(P<0.05).Postoperative exhaustion time,getting out of bed time and hospitalization time in the observation group were significantly shorter than those in the control group(P<0.05).Before surgery,there was no significant difference in CRP level between the two groups;at 1 d after operation,the CRP level in the observation group was significantly lower than that in the control group(P<0.05).The incidence of complications in the observation group was 23.53%,which was lower than 2.86% in the control group(P<0.05).Conclusion Laparoscopic repair of gastrointestinal ulcer perforation has the advantages of minimally invasive,fast postoperative recovery,less stress response to patients,and high safety,and is worthy of clinical application.

关 键 词：上消化道溃疡穿孔 腹腔镜 微创 

分 类 号：R656.62[医药卫生—外科学]