腹腔镜修补术治疗急性上消化道穿孔的疗效

Effect of laparoscopic repair on acute upper gastrointestinal perforation

目的:探讨腹腔镜修补术治疗急性上消化道穿孔的疗效及对患者术后生活质量的影响。方法:60例急性上消化道穿孔患者随机分成开腹组与腹腔镜组,每组30例。开腹组采用常规开腹手术治疗,腹腔镜组采用腹腔镜手术治疗,比较两组手术疗效、术后生活质量及术后并发症发生情况。结果:开腹组总有效率为93.34%,腹腔镜组总有效率为90.00%,差异无统计学意义(P>0.05)。术后3个月腹腔镜组在生理功能、心理功能、精神健康及社会功能各个维度的评分上均高于开腹组(P<0.05)。腹腔镜组术后并发症总发生率为0,明显低于常规开腹组的13.33%(P<0.05)。结论:腹腔镜修补术治疗急性上消化道穿孔的效果更好,并发症低,生活质量高。

Objective: To investigate the effect of laparoscopic repair on acute upper gastrointestinal perforation and the quality of life of patients after operation. Methods: 60 patients with acute upper gastrointestinal perforation were randomly divided into laparotomy group and laparoscopy group. The patients in the laparotomy group were treated with conventional laparotomy, while those in the laparoscopy group were treated with laparoscopy. Results: The total effective rate was 93.34% in the conventional laparotomy group and 90.00% in the laparoscopic group, there was no significant difference(P>0.05). 3 months after operation, the scores of physiological function, psychological function, mental health and social function in laparoscopic group were higher than those in the conventional laparotomy group(P<0.05). The total incidence of postoperative complications in laparoscopic group was 0, significantly lower than 13.33% in the conventional laparotomy group(P<0.05). Conclusion: Laparoscopic repair of acute upper gastrointestinal perforation has better effect, low complications and high quality of life.