腹腔镜与开腹手术治疗急性胃穿孔的疗效对比

Comparison of the Efficacy Between Laparoscopic Operation and Laparotomy for Acute Gastric Perforation

目的探讨和研究腹腔镜手术与开腹手术治疗急性胃穿孔的临床疗效对比。方法研究对象选取为2008年1月—2013年12月间该院收治的120例急性胃穿孔患者,根据手术方案不同分为两组,对照组60例患者采用开腹手术,观察组60例患者采用腹腔镜下穿孔修补术,对两组患者的手术时间、术中出血量、肛门排气时间、住院时间、疼痛分级以及术后并发症情况等统计对比。结果观察组患者的手术时间、术中出血量、肛门排气时间、住院时间以及疼痛分级均显著低于对照组,差异有统计学意义(P<0.05);观察组患者的术后并发症发生率为5.0%,显著低于对照组的13.3%,差异有统计学意义(P<0.05)。结论腹腔镜下穿孔修补术治疗急性胃穿孔的疗效确切,能够控制手术创伤,缩短康复时间,减少并发症发生率,值得在临床上推广和应用。

Objective To compare and study the clinical efficacy between laparoscopic operation and laparotomy for the treatment of acute gastric perforation. Methods 120 cases with acute gastric perforation admitted in our hospital from January 2008 to De- cember 2013 were divided into two groups according to different operation schemes. 60 cases in the control group were treated by laparotomy perforation repair, and 60 cases in the obseI^ation group were treated by laparoscopic perforation repair. The operation time, intraoperative bleeding volume, anal exhaust time, length of stay, pain grade and postoperative complications and so on of the two groups were counted and compared. Results The operation time, intraoperative bleeding volume, anal exhaust time, length of stay, pain grade of the observation group were significantly less than those of the control group, the differences were statistically significant （P〈O.05）. The incidence of postoperative complications of the observation group was 5.0%, obviously lower than 13.3% of the control group, the difference was statistically significant （P〈O.05）. Conclusion Laparoseopic perforation repair has definite efficacy in the treatment of acute gastric perforation, which can control the operation trauma, shorten the recovery time, reduce the incidence of complications, and is worthy of clinical popularization and application.