腹腔镜穿孔修补术治疗急性胃十二指肠溃疡穿孔的效果分析  

Analysis of the effect of laparoscopic perforation repair for acute gastroduodenal ulcer perforation

作　　者：吴波 WU Bo(Gastroenterology Department,Chaoyang Second Hospital,Chaoyang 122000,China)

机构地区：[1]朝阳市第二医院胃肠外科,122000

出　　处：《中国实用医药》2023年第7期45-47,共3页China Practical Medicine

摘　　要：目的分析腹腔镜穿孔修补术治疗急性胃十二指肠溃疡穿孔的临床效果。方法40例急性胃十二指肠溃疡穿孔患者,根据手术适应证分为观察组和对照组,各20例。观察组进行腹腔镜穿孔修补术治疗,对照组进行开腹穿孔修补术治疗。比较两组患者术后临床指标[视觉模拟评分法(VAS)评分、镇痛药使用次数、下床活动时间、肛门排气时间、进流质食物时间]及术后并发症发生率。结果观察组VAS评分(2.26±0.14)分低于对照组的(3.24±0.15)分,镇痛药使用次数(2.20±1.45)次/d少于对照组的(5.42±2.12)次/d,下床活动时间(13.86±3.44)h、肛门排气时间(41.23±4.27)h、进流质食物时间(2.34±0.46)d均短于对照组的(33.46±5.13)h、(72.14±6.27)h、(4.58±0.52)d,差异具有统计学意义(P<0.05)。观察组术后并发症发生率10.0%明显低于对照组的45.0%,差异具有统计学意义(P<0.05)。结论与开腹穿孔修补术比较,使用腹腔镜穿孔修补术治疗急性胃十二指肠溃疡穿孔有损伤小、疼痛程度轻、机体功能快速改善及安全性高的优势,值得推广。Objective To analyze the clinical effect of laparoscopic perforation repair for acute gastroduodenal ulcer perforation.Methods A total of 40 patients with acute gastroduodenal ulcer perforation were divided into observation group and control group according to surgical indications,with 20 cases in each group.The observation group received laparoscopic perforation repair,and the control group received open perforation repair.Both groups were compared in terms of postoperative clinical indexes[visual analogue scale(VAS)score,frequency of analgesic drugs,off-bed activity time,anal exhaust time,time of liquid food intake],and the incidence of postoperative complications.Results The VAS score of(2.26±0.14)points in the observation group was lower than that of(3.24±0.15)points in the control group;the frequency of analgesic drugs of(2.20±1.45)times/d in the observation group was less than that of(5.42±2.12)times/d in the control group;the observation group had off-bed activity time of(13.86±3.44)h,anal exhaust time of(41.23±4.27)h and time of liquid food intake of(2.34±0.46)d,which were shorter than those of(33.46±5.13)h,(72.14±6.27)h and(4.58±0.52)d in the control group;the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 10.0%,which was significantly lower than that of 45.0%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with open perforation repair,laparoscopic perforation repair for acute gastroduodenal ulcer perforation has the advantages of less injury,less pain,faster improvement of body function and high safety,and is worth promoting.

关 键 词：急性胃十二指肠溃疡穿孔 腹腔镜穿孔修补术 开腹穿孔修补术 

分 类 号：R656.62[医药卫生—外科学]