腹腔镜修补术治疗胃穿孔的临床效果

The Clinical Effects of Laparoscopic Repair in the Treatment of Gastric Perforation

目的：探讨腹腔镜修补术治疗胃穿孔的临床效果。方法选取于2013年1月～2014年2月来院治疗的胃穿孔患者90例作为研究对象，随机数字表达法分为对照组和观察组，各组45例，对照组采用开腹手术治疗，观察组采取腹腔镜修补术治疗，比较两组患者治疗后的临床效果。结果观察组的手术时间、术中出血量、术后排气时间、住院时间优于对照组，差异均有统计学意义（P＜0.05）；观察组术后并发症发生率（4.44%）低于对照组的（13.33%），差异有统计学意义（χ2=4.8812，P＜0.05）。结论腹腔镜修补术治疗胃穿孔的临床疗效优于传统开腹手术治疗，具有创伤小、术后恢复快、并发症少等优点。

ObjectiveTo study the efect of laparoscopic repair in the treatment of gastric perforation.Methods Selected 90 cases of patients with gastric perforation as the research object from January 2013 to February 2014,the random number expression,was divided into control group and observation group,each group 45 cases,control group treated with open operation,observation group treated with laparoscopic repair,to compare the clinical efect of two groups of patients after treatment.ResultsThe observation group of operation time,intraoperative blood loss,postoperative exhaust time,length of hospital stay were better than that of control group,diference had statistical significance（P〈 0.05）,observation group the incidence of postoperative complications（4.44%）was lower than the control group（13.33%）,the diference was statisticaly significant（χ2=4.8812,P〈 0.05）.Conclusion Laparoscopic repair the clinical curative efect of treatment of gastric perforation was superior to that of the traditional open surgery,has smal trauma,quick recovery,less complications.