腹腔镜下胃穿孔修补术与开腹手术治疗胃穿孔的有效性及安全性分析  

Analysis of the Efficacy and Safety of Laparoscopic Gastric Perforation Repair and Laparotomy in the Treatment of Gastric Perforation

作　　者：杜文辉 郑军[1] DU Wenhui;ZHENG Jun(Department of General Surgery,The Fourth Division Hospital of Xinjiang Production and Construction Corps,Yili 835000,Xinjiang Uygur Autonomous Region,China)

机构地区：[1]新疆生产建设兵团第四师医院普通外科,新疆维吾尔自治区伊犁835000

出　　处：《系统医学》2025年第6期134-136,145,共4页Systems Medicine

摘　　要：目的以胃穿孔疾病的腹腔镜穿孔修复术与开腹手术作为探究方向,观察不同术式取得的疗效及安全性。方法非随机选取新疆生产建设兵团第四师医院普外科于2019年1月—2024年1月收治的100例胃穿孔患者为研究对象,按照不同手术方法分为传统组与腔镜组,各50例,腔镜组采取腹腔镜下穿孔修复术治疗,传统组采取开腹手术治疗。对比两组治疗效果、手术指征、血清胃泌素含量。结果腔镜组的治疗总有效率为96.00%(48/50),高于传统组的82.00%(41/50),差异有统计学意义(χ^(2)=5.005,P<0.05)。腔镜组手术用时、切口长度、术中出血量、拔管时间、术后肠鸣音恢复时间、肛门排气时间均优于传统组,差异有统计学意义(P均<0.05)。术前两组患者血清胃泌素测得含量对比,差异无统计学意义(P>0.05);术后3 h,两组血清胃泌素含量均有所增长,且腔镜组高于传统组,差异有统计学意义(P<0.05)。结论腹腔镜下穿孔修复术更适宜于胃穿孔手术治疗,不仅能缩短手术用时及术后各指标的恢复时间,还能使之胃功能得以更快恢复,更具安全性及有效性。Objective Taking laparoscopic repair of gastric perforation and open surgery as the research direction,the efficacy and safety of different surgical methods were observed.Methods 100 patients with gastric perforation admit-ted to the Department of General Surgery of The Fourth Division Hospital of Xinjiang Production and Construction Corps from January 2019 to January 2024 were non-randomly selected as the research objects.According to different surgical methods,they were divided into traditional group and endoscopic group,50 cases in each group.The endo-scopic group was treated with laparoscopic perforation repair,and the traditional group was treated with open surgery.The therapeutic effect,surgical indications and serum gastrin content were compared between the two groups.Results The total effective rate of treatment in the endoscopic group was 96.00%(48/50),which was higher than 82.00%(41/50)in the traditional group,and the difference was statistically significant(χ^(2)=5.005,P<0.05).The operation time,in-cision length,intraoperative blood loss,extubation time,postoperative bowel sound recovery time and anal exhaust time in the endoscopic group were better than those in the traditional group,and the differences were statistically sig-nificant(all P<0.05).There was no significant difference in serum gastrin between the two groups before operation(P>0.05).At 3 h after operation,the serum gastrin content of the two groups increased,and the endoscopic group was higher than the traditional group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic perfo-ration repair is more suitable for gastric perforation surgery.It can not only shorten the operation time and the recovery time of postoperative indicators,but also make the gastric function recover faster,which is more safe and effective.

关 键 词：胃穿孔 腹腔镜下穿孔修复术 开腹手术 治疗效果 

分 类 号：R4[医药卫生—临床医学]