胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复的对比分析

Recovery of gastrointestinal motility following laparoscopy versus open operation for repair of gastric perforation

目的对比分析胃穿孔腹腔镜修补术与开腹修补术对胃肠动力恢复的影响。方法选取84例胃穿孔患者为研究对象,随机分为腹腔镜修补术组与开腹修补术组,各42例,分别采用腹腔镜修补术和开腹修补术进行治疗,比较两组术后胃肠动力指标。结果腹腔镜修补术组术后1 h、24 h、48 h、72 h时血清胃泌素(GAS)评分均高于开腹修补术组;术中出血量、术后肠鸣音恢复时间、首次排气时间、平均住院时间及并发症发生率均低于开腹修补术组。结论胃穿孔腹腔镜修补术有利于减少术中出血量,迅速恢复胃肠动力,缩短住院时间。

Objective To study the effects of recovery of gastrointestinal motility following laparoscopy versus open operation for the repair of gastric perforation. Methods Eighty-four patients with gastric perforation were divided into observation group and control group,respectively given laparoscopic repair and open operation repair. Postoperative gastrointestinal dynamics index were compared. Results Laparoscopic group after 1 h,24 h,48 h,72 h GAS score were higher than those of open operation group,intraoperative blood loss,bowel sounds recovery time,exhaust time,length of hospital stay and complications were lower than those of open operation group. Conclusion Laparoscopic repair can help to reduce intraoperative blood loss,quickly recover gastrointestinal motility and shorten hospitalization time.