腹腔镜下上消化道穿孔修补术的临床应用体会

Clinical Application of Laparoscopic Repair of Upper Digestive Tract Perforation

目的：探讨腹腔镜下上消化道穿孔修补术的临床应用。方法择取对象为2012年6月～2015年5月到本院实施上消化道穿孔修补术的86例患者，根据手术方法的不同将其分为开腹组（n=42）和腹腔镜组（n=44），比较分析两组患者手术时间、术后并发症、住院时间、术后镇痛剂的应用以及术后肛门排气时间。结果与开腹组比较，腹腔镜组手术时间长，住院时间和术后肛门排气时间短，术后并发症发生率和术后镇痛剂应用比例少（P＜0.05）。结论于腹腔镜下实施上消化道穿孔修补术，安全可靠，术后并发症少，恢复快。

ObjectiveTo explore the clinical application of laparoscopic repair of upper digestive tract perforation.Methods Selects the object for June 2012 and 2015 may to the hospital implementation digestive tract perforation neoplasty of 86 cases of patients, according to different surgical methods wil be divided into laparotomy group （n=42） and laparoscopic group （n=44）, a comparative analysis of two groups of patients the operation time, postoperative complications, hospitalization time, postoperative analgesic agent application and postoperative anal exhaust time. Results Compared with open group, laparoscopic group had longer operation time, length of hospital stay and postoperative anal exhaust time, postoperative complication rate and postoperative analgesia （P〈0.05）.Conclusion The repair of upper digestive tract perforation is safe and reliable, with less complications and quicker recovery.