摘要
目的观察胃穿孔微创术式治疗方法对患者产生的疗效和对胃肠动力产生的影响。方法将2016年2月至2018年2月间大悟县人民医院收治的80例胃穿孔患者作为研究对象,随机分为微创治疗组40例,接受腹腔镜微创术式治疗和对照组40例,接受开放性修补术式治疗,分析不同手术模式的治疗效果。结果微创治疗组患者的总住院时间、术中出血量以及总住院治疗费用均少于对照组患者,手术治疗时间长于对照组患者,差异显著(P<0.05);微创治疗组患者的术后初次排气时间、术后初次下床活动时间以及肠鸣音恢复正常时间均短于对照组患者,差异显著(P<0.05)。结论采用腹腔镜微创术式对胃穿孔患者进行治疗,对患者的胃肠动力产生的负面影响较少,手术效果更佳显著。
Objective To analyze the effect of minimally invasive surgery for gastric perforation on patients and the effect on gastrointestinal motility.Methods Eighty patients with gastric perforation admitted to our hospital from February 2016 to February 2018 were randomly divided into minimally invasive treatment group(40 patients with laparoscopic minimally invasive surgery)and the control group(40 patients which treated with open repair surgery),then analyzed the treatment effect of different surgical modes.Results The total hospital stay,intraoperative blood loss,and total hospitalization costin the minimally invasive treatment group werelower than that in the control group.The time of surgery was longer than that of the control group,and the difference was signifi cant(P<0.05).In the minimally invasive treatment group,the time of initial venting,the time of initial bed-out and the normal time of bowel sounds were shorter than those of the control group,and the difference was signifi cant(P<0.05).The time of initial venting,the time of initial inferiority,and the time to return to normal bowel sounds in the minimally invasive treatment group were shorter than those in the control group,and the difference was signifi cant(P<0.05).Conclusion The treatment of gastric perforation patients with laparoscopic minimally invasive surgery has less negative impact on patients'gastrointestinal motility,and the surgical effect is more signifi cant.
作者
付剑
FU Jian(Department of the Fourth Surgical,Dawu County People's Hospital,Hubei,Dawu,432800)
出处
《临床普外科电子杂志》
2018年第3期10-12,共3页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
胃穿孔微创术式
疗效
胃肠动力
治疗效果
Gastric perforation minimally invasive surgery
Efficacy
Gastrointestinal motility
Therapeutic effect
