胃穿孔修补术采用腹腔镜和开腹手术的疗效对比  

Comparison of the efficacy of gastric perforation repair using laparoscopic and open surgical procedures

作　　者：傅元[1] FU Yuan(Liaoning Provincial People's Hospital,Shenyang 110003,China)

机构地区：[1]辽宁省人民医院,110003

出　　处：《中国现代药物应用》2024年第22期58-60,共3页Chinese Journal of Modern Drug Application

摘　　要：目的 对比胃穿孔修补术采取腹腔镜以及开腹手术的临床疗效。方法 18例胃穿孔患者,采取随机形式将其分为研究组(9例)和对照组(9例)。对照组采取开腹手术胃穿孔修补术治疗,研究组采取腹腔镜胃穿孔修补术治疗。比较两组患者手术指标以及并发症发生情况。结果 研究组手术时间(1.03±0.44)h、术后排气时间(12.00±0.55)h、住院时间(7.21±1.46)d均短于对照组的(1.70±0.59)h、(15.12±0.64)h、(10.42±1.55)d,出血量(14.55±6.93)ml少于对照组的(23.50±6.99)ml,差异具有统计学意义(P<0.05)。研究组中发生切口感染1例,对照组中发生切口感染3例、胃出血2例。研究组并发症发生率11.11%低于对照组的55.56%,差异有统计学意义(P<0.05)。结论 临床中对于胃穿孔患者采取腹腔镜修补术进行治疗的效果明显优于开腹手术,能够成为临床治疗胃穿孔疾病的首选方案,对于胃穿孔治疗的发展有着重要的意义。Objective To compare the clinical efficacy of gastric perforation repair using laparoscopic and open surgical procedures.Methods A total of 18 patients with gastric perforation were randomly divided into a study group(9 patients) and a control group(9 patients).The control group was treated with open repair of gastric perforation,and the study group was treated with laparoscopic repair of gastric perforation.The surgical indexes and complications were compared between the two groups.Results In the study group,the operation time was(1.03±0.44) h,the postoperative exhaust time was(12.00±0.55) h,and the hospitalization time was(7.21±1.46) d,which were shorter than(1.70±0.59) h,(15.12±0.64) h,and(10.42±1.55) d in the control group;the amount of bleeding of(14.55±6.93) ml in the study group was less than(23.50±6.99) ml in the control group;the difference was statistically significant(P<0.05).The study group had 1 case of incision infection,while the control group had 3 cases of incision infection and 2 cases of gastric bleeding;the occurrence of complications of 11.11% in the study group was lower than 55.56% in the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of laparoscopic repair for patients with gastric perforation is significantly better than that of open surgery,and it can become the preferred choice for clinical treatment of gastric perforation,which is of great significance for the development of the treatment of gastric perforation.

关 键 词：胃穿孔修补术 腹腔镜 开腹手术 治疗效果 并发症 

分 类 号：R656.61[医药卫生—外科学]