摘要
目的探讨腹腔镜下微创修补术与开放穿孔修补术治疗胃十二指肠穿孔的效果及对胃肠动力的影响。方法选取2016年10月至2020年10月中山市三角医院收治的78例胃十二指肠穿孔患者作为研究对象,采用随机数字表法分为对照组(开放穿孔修补术治疗)和观察组(腹腔镜下微创修补术治疗),每组患者39例。对比两组治疗效果及对胃肠动力的影响。结果治疗后,两组患者的手术成功率差异无显著性(P>0.05)。对照组患者的术中出血量、手术耗时、肠蠕动恢复时间与住院时间分别为(129.93±12.12)ml、(156.34±20.09)min、(40.22±1.35)h、(10.±8±1.99)d,观察组患者的术中出血量、手术耗时、肠蠕动恢复时间与住院时间分别为(64.29±5.54)ml、(110.21±12.22)min、(22.32±0.55)h、(6.22±0.43)d,均显著短于对照组,差异有显著性(P<0.05);观察组不良反应发生率(2.56%)显著低于对照组(23.08%),差异有显著性(P<0.05)。结论腹腔镜下微创修补术与开放穿孔修补术治疗胃十二指肠穿孔,手术成功率相当,但前者创伤小,肠蠕动恢复快,术后并发症少,具有一定的安全性。
Objective To investigate the effect of laparoscopic minimally invasive repair and open perforation repair in the treatment of gastroduodenal perforation and its influence on gastrointestinal motility.Methods 78 patients with gastroduodenal perforation in Zhongshan triangle hospital from October 2016 to October 2020 were selected and randomly divided into control group(open perforation repair)and observation group(laparoscopic minimally invasive repair),39 cases in each group.The therapeutic effect and the influence on gastric motility of the two groups were compared.Results After treatment,there was no significant difference in the success rate of operation between the two groups(P>0.05).The intraoperative blood loss,operation time,intestinal peristalsis recovery time and hospitalization time of the control group were(129.93±12.12)ml,(156.34±20.09)min,(40.22±1.35)h and(10.98±1.99)d respectively,while the intraoperative blood loss,operation time,intestinal peristalsis recovery time and hospitalization time of the observation group were(64.29±5.54)ml,(110.21±12.22)min and(22.32±0.5)d respectively.The adverse reaction rate of the observation group(2.56%)was significantly lower than that of the control group(23.08%),the difference was statistically significant(P<0.05).Conclusion laparoscopic minimally invasive repair and open perforation repair in the treatment of gastro duodenal perforation have the same success rate,but the former has the advantages of small trauma,rapid recovery of intestinal peristalsis,less postoperative complications and certain safety,which is worthy of clinical application.
作者
李子旺
雒洪志
谢旺忠
LI Ziwang;LUO Hongzhi;XIE Wangzhong(Second Surgery Department of Zhongshan City Sanjiao Hospital,Zhongshan 528445,Guangdong)
出处
《临床普外科电子杂志》
2021年第1期8-11,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
腹腔镜
开放性
穿孔修补术
胃十二指肠穿孔
胃肠动力
Laparoscopy
Open
Perforation repair
Gastroduodenal perforation
Gastrointestinal motility
