摘要
目的:比较腹腔镜支持手术与开腹手术治疗上消化道穿孔的疗效及安全性差异。方法:根据治疗方式的不同将2012年3月至2017年3月收治的50例上消化道穿孔患者分为两组(n=25),观察组在腹腔镜下行消化道穿孔修补术,对照组开腹后行消化道穿孔修补术,对比两组的手术效果及术后1w的并发症发生情况。结果:观察组患者的手术时间、术后排气时间、术后下地时间、住院时间均显著短于对照组(P<0.05),术中出血量显著少于对照组(P<0.05)。观察组术后的并发症总发生率为8.00%,显著低于对照组(24.00%,P<0.05)。观察组患者术后1、2、3d疼痛评分均显著低于对照组(P<0.05)。结论:与开腹手术相比,腹腔镜手术治疗上消化道穿孔的术后并发症更少、疼痛更轻、恢复更快,患者的预后更好。
Objective：To compare the efficacy and safety between laparoscopic surgery and laparotomy in the treatment of patients with upper gastrointestinal perforation.Methods：Fifty patients with upper gastrointestinal perforation admitted to our hospital from March 2012 to March 2017 were divided into two groups according to different treatments（n=25）.The patients in observation group underwent laparoscopic perforation repair surgery.The patients in the control group employed laparotomy digestive tract perforation repair surgery.Then we compared the surgical effects and complications 1 week of the two groups.Results：The operation time,postoperative exhaust time,postoperative time,and hospitalization time in observation group was significantly shorter than those of the control group.The interoperative bleeding amount in the observation group were significantly lower than that of the control group（P〈0.05）.The total incidence of complications in observation group was 8.00%,which was significantly lower than that of the control group（P〈0.05）.The pain scores of the observation group 1 day,2 days and 3 days post operation were significantly lower than those of the control group（P〈0.05）.Conclusion：Compare with laparotomy,the laparoscopic surgery in the treatment of upper gastrointestinal perforation has less complications,less pain,faster recovery,and a better prognosis for patients with upper gastrointestinal perforation.
作者
尹洪泉
庞宏欣
刘军
Yin Hong quan;Pang Hong xin;Liu Jun(The Urology Department（General Surgery Department）of People＇s Hospital in Tianjin Beach,Tianjin,30000)
出处
《四川生理科学杂志》
2018年第2期97-99,共3页
Sichuan Journal of Physiological Sciences
关键词
上消化道穿孔
开腹手术
腹腔镜手术
并发症
Upper gastrointestinal perforation
Laparotomy
Laparoscopic surgery
Complications
