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作 者:向越烽 文进波 伍宇 XIANG Yuefeng;WEN Jinbo;WU Yu(Department of General Surgery,People's Hospital of Wuchuan Gelao and Miao Autonomous County,Zunyi,Guizhou,564300,China)
机构地区:[1]务川仡佬族苗族自治县人民医院普通外科,贵州遵义564300
出 处:《中外医疗》2025年第7期35-38,共4页China & Foreign Medical Treatment
摘 要:目的两种胃穿孔外科手术术式治疗对患者胃肠动力恢复及并发症发生率的影响。方法随机选取2021年5月—2024年6月务川仡佬族苗族自治县人民医院收治的80例急诊手术胃穿孔患者为研究对象,根据手术方案不同分入对照组和观察组,对照组(40例)接受开腹胃穿孔修补术,观察组(40例)接受腹腔镜穿孔修补术。比较两组患者临床手术指标、营养指标及术后并发症发生率。结果观察组手术时间为(95.30±9.34)min,长于对照组的(72.25±8.16)min,术中出血量为(5.25±1.18)mL,少于对照组的(10.45±2.36)mL,术后第1次排气时间为(36.25±3.39)h、术后第1次排便时间为(48.15±10.14)h,肠鸣音恢复时间为(15.36±3.11)h,住院时间为(7.91±1.15)d,均短于对照组的(48.25±5.31)h、(58.25±10.15)h、(29.45±5.37)h、(10.15±2.25)d,差异均有统计学意义(t=11.754,12.464,12.047,4.452,14.360,5.607;P均<0.05)。术后7 d,观察组各项营养指标高于对照组,差异均有统计学意义(P均<0.05)。观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论较开腹手术而言,应用腹腔镜穿孔修补术治疗胃穿孔,有利于胃肠动力恢复,降低并发症发生率。Objective To investigate the effects of two surgical treatments for gastric perforation on the recovery of gastrointestinal motivity and the incidence of complications.Methods From May 2021 to June 2024,80 patients with emergency gastric perforation treated in the People's Hospital of Wuchuan Gelao and Miao Autonomous County were randomly selected as the study objects,and divided into control group and observation group according to different surgical plans.The control group(40 cases)received open gastric perforation repair,and the observation group(40 cases)received laparoscopic perforation repair.The clinical operation index,nutritional index and postoperative complication rate were compared between the two groups.Results The operation time in the observation group was(95.30±9.34)min longer than that in the control group(72.25±8.16)min,and the intraoperative blood loss was(5.25±1.18)mL less than that in the control group(10.45±2.36)mL,the first postoperative exhaust time was(36.25±3.39)h,the first postoperative defecation time was(48.15±10.14)h,the recovery time of bowel sound was(15.36±3.11)h,and the length of hospitalization was(7.91±1.15)d,which were shorter than those of the control group(48.25±5.31)h,(58.25±10.15)h,(29.45±5.37)h,(10.15±2.25)d,and the differences were statistically significant(t=11.754,12.464,12.047,4.452,14.360,5.607;all P<0.05).On the 7th day after operation,the nutritional indexes in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with open surgery,the application of laparoscopic perforation repair in the treatment of gastric perforation is beneficial to the recovery of gastrointestinal motility and reduce the incidence of complications.
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