摘要
目的分析腹腔镜下胃及十二指肠穿孔手术患者的临床疗效。方法回顾性选择2012年1月~2016年5月本院收治130例胃及十二指肠穿孔患者临床资料,根据治疗时所采用不同手术方法分为两组,对照组60例采用开腹胃及十二指肠穿孔修补术,研究组70例采用腹腔镜下胃及十二指肠穿孔修补术,对比两组手术指标、并发症及生活质量评分。结果研究组手术用时、出血量、胃肠功能恢复时间、出院时间及术后疼痛评分均比对照组低(P<0.05);研究组术口感染、术后出血及术后肠瘘并发症总发生率4.29%比对照组低25.00%(P<0.05);研究组生活质量评分比对照组高(P<0.05)。结论腹腔镜下行胃及十二指肠穿孔修补手术可优化手术指标,降低术后并发症发生率,提高生活质量,具临床应用价值。
Objective To analyze laparoscopic gastric and duodenal perforation surgery patient's clinical curative effect.Methods Retrospectively from January2012to May2016in our hospital treated130cases of gastric and duodenal perforation in patients with clinical data,according to the adopted by different surgical treatment method was divided into two groups,control group of60patients with open gastric and duodenal perforation repair,group70cases with laparoscopic gastric and duodenal perforation repair,compared two groups of operation indicators,complications,and the quality of life scores.Results The team operation time,blood loss,gastrointestinal function recovery time,discharge time and postoperative pain score was lower than control group(P<0.05);Team mouth infection,postoperative bleeding and postoperative intestinal fistula operation complications,the total incidence of4.29%25.00%lower than the control group(P<0.05);The team life quality score is higher than control group(P<0.05).Conclusion Laparoscopic downward gastric and duodenal perforation repair surgery can optimize the operation target,reduce the incidence of postoperative complications,improve the quality of life,has the clinical application value.
作者
于洋
王洪华
杨国保
邱金中
Yu Yang;Wang Hong-hua;Yang Guo-bao;Qiu Jin-zhong(Department of General Surgery, Xiangshui County People 's Hospital, Jiangsu Province, Yancheng,Jiangsu,224600,China)
出处
《当代医学》
2017年第21期42-44,共3页
Contemporary Medicine
关键词
腹腔镜
胃及十二指肠
穿孔手术
疗效
Laparoscopic
The stomach and duodenum
Perforation operation
The curative effect
