腹腔镜与开腹手术下行胃穿孔修补术的综合临床疗效对比

Comprehensive comparison of the clinical efficacy of laparoscopic surgery and gastric perforation repairment

目的研究胃穿孔应用腹腔镜修补术和开腹手术的临床效果。方法共纳入49例胃穿孔患者，根据患者采取的不同手术方式将其分为观察组和对照组，观察组应用腹腔镜修补术，对照组进行开腹手术，分别对两组患者的手术持续时间、术中出血时间等相关指标进行观察和对比。结果两组手术时间比较差异未见统计学意义（P〉0．05），对照组患者的术中出血量、术后排气时间以及下床活动时间和住院时间均明显长于观察组，差异有统计学意义（P〈0．05）。对照组并发症发生率为37．5％，观察组为16％，差异有统计学意义（P〈0．05）。结论对胃穿孔应用腹腔镜修补术能够取得更加显著的临床疗效。

Objective To investigate the clinical effects of laparoscopic surgery and open surgery on gastric perforation. Methods Forty-nine patients with gastric perforation were enrolled in the study, according to different operation methods, the patients were divided into observation group and control group, the patients in observation received laparoscopic repairment, and the patients in control group received laparotomy. The duration of surgery, blood loss, time and other relevant indicators were observed and compared. Results There was no significant difference in operative time between the two groups （P 〉0.05）, the blood loss, postoperative ambulation and discharge time and hospital stay in control group was longer than that in the observation group, there were significant differnces（P 〈 0.05）. The incidence of complications in the control group was 37.5%, and that in the observation group was 16%, there was significant difference （ P 〈 0. 05 ）. Conclusions Laparoseopic repairment for gastric perforation has significant clinical efficacy.