腹腔镜修补术治疗胃穿孔的临床方法及疗效分析

发布时间：2019-07-08 20:12

【摘要】：目的观察腹腔镜修补术治疗胃穿孔的的临床方法和疗效。方法选取我院2015年2月~2016年2月收治的胃穿孔患者84例,按照入院顺序将其分为单号为对照组,双号为观察组,各42例,对照组患者采用开腹手术治疗,观察组患者接受腹腔镜修补术治疗,将研究情况纳入结果中。结果观察组患者手术时间(45.32±3.41)min,和对照组的(45.24±3.45)min比较,差异无统计学意义(P0.05),观察组患者术中出血量、并发症发生率分别为(13.54±2.02)m L、2.38%,均分别低于对照组的(45.68±3.98)、14.29%,差异有统计学意义(P0.05),观察组患者肠鸣音恢复时间、肛门排气时间、住院时间分别为(12.42±2.32)h、(28.43±4.55)h、(6.33±1.02)天,均分别短于对照组的(45.32±10.48)h、(49.74±13.67)h、(10.44±2.03)天,差异有统计学意义(P0.05)。结论针对胃穿孔患者,采用腹腔镜修补术治疗,有利于减少并发症,缩短住院时间,加快胃肠功能恢复,提高治疗效果,值得临床积极推广应用。
[Abstract]:Objective to observe the clinical method and curative effect of laparoscopic repair in the treatment of gastric perforation. Methods from February 2015 to February 2016, 84 patients with gastric perforation were divided into single number as control group and double number as observation group, 42 cases in each group. The patients in the control group were treated with laparoscopy, and the patients in the observation group were treated with laparoscopic repair. Results there was no significant difference in operation time between the observation group (45.32 卤3.41) min, and the control group (45.24 卤3.45) min (P 0.05). The amount of intraoperative bleeding and the incidence of complications in the observation group were (13.54 卤2.02) mL and 2.38%, respectively, which were significantly lower than those in the control group (45.68 卤3.98) and 14.29% (P 0.05). The recovery time, anal exsufflation time and hospitalization time of the patients in the observation group were (12.42 卤2.32) h, (28.43 卤4.55) h, (6.33 卤1.02) days, which were shorter than those in the control group (45.32 卤10.48) h, (49.74 卤13.67) h, (10.44 卤2.03), the difference was statistically significant (P 0.05). Conclusion Laparoscopic repair for patients with gastric perforation is beneficial to reduce complications, shorten hospitalization time, speed up the recovery of gastrointestinal function and improve the therapeutic effect, which is worthy of clinical application.
【作者单位】：江阴市中医院普通外科;
【分类号】：R656.61

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