腹腔镜下穿孔修补术治疗胃及十二指肠溃疡急性穿孔的效果分析  

Analysis of the Effectiveness of Laparoscopic Perforation Repair Surgery for Acute Perforation of Gastric and Duodenal Ulcers

作　　者：刘洁 Liu Jie(The Third Affi liated Hospital of Zunyi Medical University,The First People’s Hospital of Zunyi,Zunyi,Guizhou 563000)

机构地区：[1]遵义医科大学第三附属医院·遵义市第一人民医院,贵州遵义563000

出　　处：《科技与健康》2024年第8期21-24,共4页Technology and Health

摘　　要：探究腹腔镜下穿孔修补术治疗胃及十二指肠溃疡急性穿孔的效果。选取2022年1月—2022年12月遵义医科大学第三附属医院收治的94例胃及十二指肠溃疡急性穿孔患者为研究对象,采用随机数字表法将其分为对照组(n=47,行传统开腹术)、观察组(n=47,行腹腔镜下穿孔修补术),对比两组患者疗效。结果显示,观察组患者围术期指标及术后胃肠功能指标均优于对照组(P<0.05);术前两组患者疼痛评分差异无统计学意义(P>0.05),术后疼痛评分均有下降,且观察组分值低于对照组(P<0.05);观察组患者并发症总发生率低于对照组(P<0.05);术后,观察组患者除物质生活功能以外其他各项生活质量评分均高于对照组(P<0.05)。研究发现,腹腔镜下穿孔修补术对胃及十二指肠溃疡急性穿孔患者治疗效果确切,可减轻创伤,利于患者术后恢复,于胃肠功能恢复有益。Exploring the effect of laparoscopic perforation repair surgery on acute perforation of gastric and duodenal ulcers.94 patients with acute perforation of gastric and duodenal ulcers admitted to the Third Affiliated Hospital of Zunyi Medical University from January 2022 to December 2022 were selected as the study subjects.They were randomly divided into a control group(n=47,who underwent traditional open surgery)and an observation group(n=47,who underwent laparoscopic perforation repair surgery)using a random number table method.Compare the therapeutic effects of two groups of patients.The results showed that the perioperative and postoperative gastrointestinal function indicators of the observation group were better than those of the control group(P<0.05);There was no statistically significant difference in pain scores between the two groups of patients before surgery(P>0.05),and both groups experienced a decrease in pain scores after surgery,with the observation group having lower scores than the control group(P<0.05);The total incidence of complications in the observation group was lower than that in the control group(P<0.05);After surgery,the quality of life scores of the observation group patients were higher than those of the control group except for material life function(P<0.05).Research has found that laparoscopic perforation repair has a definite therapeutic effect on patients with acute perforation of gastric and duodenal ulcers,can reduce trauma,facilitate postoperative recovery,and is beneficial for the recovery of gastrointestinal function.

关 键 词：胃及十二指肠溃疡急性穿孔 腹腔镜下穿孔修补术 并发症 

分 类 号：R615[医药卫生—外科学]