腹腔镜下修补术治疗急性胃十二指肠溃疡穿孔患者的效果及安全性分析  

Efficacy and Safety of Laparoscopic Repair for Acute Gastroduodenal Ulcer Perforation

作　　者：解涛[1] 赵同全 XIE Tao;ZHAO Tongquan(Department of General Surgery,Rizhao People’s Hospital,Rizhao 276826,China)

机构地区：[1]山东省日照市人民医院普外科,山东日照276800

出　　处：《中国伤残医学》2025年第1期24-28,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨腹腔镜下行修补术治疗急性胃十二指肠溃疡穿孔患者的效果及安全性。方法:回顾性分析2020年1月—2024年7月日照市人民医院收治的78例急性胃十二指肠溃疡穿孔患者的临床资料,所有患者均已于本院行手术治疗。根据手术方案的不同将其分为对照组和研究组,各39例。对照组给予传统开腹穿孔修补术治疗,研究组给予腹腔镜下穿孔修补术治疗。比较两组临床相关指标、术后镇痛剂使用率、疼痛程度、临床疗效及并发症发生情况。结果:研究组手术时间长于对照组,术后首次排气时间、术下床活动时间均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。研究组镇痛剂使用率23.08%,低于对照组的53.85%,差异有统计学意义(P<0.05)。术后1、5 d,研究组面部表情疼痛量表评分均低于对照组,差异均有统计学意义(P<0.05)。研究组治疗总有效率1.80%高于对照组的84.62%,差异有统计学意义(P<0.05)。研究组并发症发生率2.56%,低于对照组的20.50%,差异有统计学意义(P<0.05)。结论:急性胃十二指肠溃疡穿孔患者采用腹腔镜下修补术治疗,具有较理想的临床疗效,可有效改善患者临床指标,降低术后镇痛剂使用率及并发症发生率,减轻疼痛,有利于生理机能恢复。Objective:To investigate the efficacy and safety of laparoscopic laparoscopic repair in the treatment of patients with acute gastroduodenal ulcer perforation.Methods:The clinical data of 78 patients with gastroduodenal ulcer perforation admitted to Rizhao People’s Hospital from January 2020 to July 2024 were retrospectively analyzed,All patients had undergone surgical treatment in our hospital.They were divided into control group and study group,39 cases in each group according to different surgical plans.The control group received traditional open perforation repair,and the study group received laparoscopic perforation repair.The clinical indicators,the use rate of postoperative analgesics,the degree of ain,the clinical efficacy and the incidence of complications were compared between the two groups.Results:The operation time of the study group was longer than that of the control group,the the first postoperative exhaust time and the first postoperative movement time shorter than that of the control group,the intraoperative blood loss was less than that of the control group,the differences were statistically significant(P<0.05).The rate of analgesic use in the study group was 23.08%,which was lower than 53.85%in the control group,the difference was statistically significant(P<0.05).One and five days after operation,the Face scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The total effective rate of the study group was 7.00%higher than 84.62%of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was 2.56%,which was lower than 20.50%in the control group,the difference was statistically significant(P<0.05).Conclusion:Laparoscopic repair for patients with acute gastroduodenal ulcer perforation has a good clinical effect,which can effectively improve the clinical indicators of patients,reduce the use of postoperative analgesics and the inciderce of complications,alleviate

关 键 词：急性胃十二指肠溃疡穿孔 腹腔镜穿孔修补术 传统开腹穿孔修补术 

分 类 号：R656[医药卫生—外科学]