摘要
目的分析可吸收线对腹腔镜胃十二指肠溃疡穿孔修补术患者术后愈合的影响。方法选取2017年2月-2018年12月在本院行腹腔镜胃十二指肠溃疡穿孔修补术的患者86例,通过随机数字表法分组,分为对照组与观察组均43例。两组患者均行腹腔镜胃十二指肠溃疡穿孔修补术,对照组缝合以2-0普通丝线完成,观察组通过2-0聚乙醇酸手术缝合线完成缝合。比较两组术后愈合与术后疼痛程度。结果观察组引流管拔除时间(3.31±0.51)d、肠功能恢复时间(2.39±0.46)d、下床活动时间(2.37±0.46)d、住院时间(7.09±0.52)d,均比对照组短[(4.30±0.57)d、(3.61±0.52)d、(3.41±0.48)d、(9.51±1.30)d],差异有统计学意义(t=8.488、11.523、10.258、11.334,P均=0.000);观察组术后疼痛程度轻于对照组,差异有统计学意义(Z=2.379,P=0.017)。结论可吸收线的使用可促进腹腔镜胃十二指肠溃疡穿孔修补术患者术后愈合,缓解术后疼痛症状,临床应用价值较高。
Objective To investigate the effect of absorbable suture on postoperative healing of patients with laparoscopic gastroduodenal perforated ulcer neoplasty.Methods A total of 86 patients with laparoscopic gastroduodenal perforated ulcer neoplasty were selected in a hospital from February 2017 to December 2018,and they were divided into a control group and a trial group by the random number table method,with 43 cases in each group,and they all received the laparoscopic gastroduodenal perforated ulcer neoplasty.The control group was closed with 2-0 normal silk,and the trial group was closed with 2-0 polyglycolic acid operation suture.The postoperative healing and postoperative pain were investigated and compared between the two groups.Results The removal time of the drainage tube[(3.31-0.51)days],the recovery time of the intestinal function[(2.39-0.46)days],the time of getting out the bed for activity[(2.37±0.46)days],and the time of hospitalization[(7.09±0.52)days]in the trial group were shorter than those in the control group[(4.30±0.57)days,(3.61±0.52)days,(3.41±0.48)days,and(9.51±1.30)days],and there were significant differences between two groups(t=8.488,11.523,10.258,and 11.334,all P=0.000).The pain level in the trial group were less than that in the control group,and there was a significant difference(Z=2.379,P=0.017).Conclusion The effect of absorbable suture on postoperative healing of patients with laparoscopic gastroduodenal perforated ulcer neoplasty is better,that means the use of absorbable suture can promote the healing and relieved the pain symptoms,and its clinical application value is high.
作者
刘勇
LIU Yong(General Surgery Department,Guangshan County people's Hospital,Xinyang City,Xinyang 465400,Henan,China)
出处
《中国校医》
2020年第5期354-355,369,共3页
Chinese Journal of School Doctor
关键词
胃十二指肠溃疡穿孔
穿孔修补术
腹腔镜
可吸收线
术后愈合
疼痛程度
gastroduodenal perforated ulcer
perforated ulcer neoplasty
laparoscopy
absorbable suture
postoperative healing
pain degree
