两孔法腹腔镜胃造瘘术可行性分析

Feasibility of two-port laparoscopic gastrostomy

目的评价两孔腹腔镜胃造瘘术治疗吞咽困难可行性。方法回顾性分析61例行腹腔镜胃造瘘术患者的临床资料,30例行两孔法患者为观察组,31例行三孔法患者为对照组;比较2组术中及术后并发症、术后疼痛程度,手术时间、术中出血量和术后住院时间。结果观察组手术时间[(35.45±4.55)min]、术后VAS疼痛评分[(1.22±0.51)分]低于对照组[(55.93±5.22)min、(3.23±0.21)分](P<0.05),术中出血量[(8.65±5.87)mL]、术后住院时间[(5.34±1.55)d]及并发症发生率(0)与对照组[(9.77±3.67)mL、(6.46±1.12)d、3.22%]比较差异均无统计学意义(P>0.05)。结论两孔法腹腔镜胃造瘘术简单、安全、有效。

Objective To evaluate the feasibility of two-port Iaparoscopic gastrostomy for dysphagia. Methods The clinical data of 61 patients undergoing laparoseopic gastrostomy for dysphagia were retrospectively analyzed, in which 31 patients received two-port laparoscopic gastrostomy （observation group） and 31 received three-port laparoscopie gastrostomy （control group）. The intraoperative and postoperative complications, postoperative pain, operation lasting time, blood loss volume, and postoperative hospitalization stay were compared between two groups. Results The operation lasting time was shorter and postoperative VAS score was lower in observation group （（35.45 ± 4. 55） rain, 1.22±0.51） than those in control group （（55. 93±5.22） min, 3. 23±0. 21） （P〈0.05）. There were no significant differences in intraoperative blood loss volume, postoperative hospitalization stay and complication incidence between observation group （（8.65±5.87） mL, （5.34±1.55） d, 0） and control group （（9.77±3.67） mL, （6.46±1.12） d, 3.22 %） （P〉0.05）. Conclusion Two-port laparoscopic gastrostomy is simple, safe and effective for dysphagia.