腹部正中切口在胃肠手术治疗中的临床应用探讨

The Clinical Application of Abdominal Median Incision in Gastrointestinal Surgery

目的分析腹部正中切口用于胃肠手术治疗的价值。方法本研究主体为2018年7月至2020年7月间来院治疗的74例胃肠手术患者。以抽签法为基准,A组38例予以腹部正中切口治疗,B组36例予以经腹直肌切口治疗。对比治疗效果。结果除住院天数外,A组的围术期指标均优于B组;A组的切口疝发生率为2.63%,B组为16.67%;A组的切口感染发生率为0,B组为11.11%;A组的总并发症率为10.51%,B组为41.67%(P<0.05)。术后24h与48h,A组的疼痛评分均低于B组(P<0.05)。A组随访1个月的生活质量评分均高于B组(P<0.05)。结论为胃肠手术患者进行腹部正中切口治疗可以改善围术期相关性指标,促进术后康复,且并发症较少,能够最大化提升患者的生活质量。

Objective To analyze the value of abdominal median incision for gastrointestinal surgery.Methods The subjects of this study were 74 patients with gastrointestinal surgery who came to the hospital for treatment from July 2018 to July 2020.Based on the lottery method,38 patients in group A were treated with a midline abdominal incision,and 36 patients in group B were treated with a rectus abdominis incision.Compare treatment effects.Results Except for the length of hospital stay,the perioperative indicators of group A were better than those of group B;the incidence of incisional hernia in group A was 2.63%,and that in group B was 16.67%;the incidence of incisional hernia in group A was 0,and that in group B was 11.11%;the total complication rate of group A was 10.51%,group B was 41.67%(P<0.05).At 24 h and 48 h after operation,the pain score of group A was lower than that of group B(P<0.05).The quality of life scores of group A were higher than those of group B(P<0.05).Conclusion Performing abdominal median incision treatment for gastrointestinal surgery patients can improve perioperative related indicators,promote postoperative recovery,and have fewer complications,which can maximize the quality of life of patients.