腹腔镜修补术与开腹修补术对胃穿孔患者术后胃肠动力的恢复情况对比研究

Comparative Study of Recovery of Gastrointestinal Motility After Laparoscopic Repair and Open Operation for Patients with Gastric Perforation

目的比较胃穿孔病人进行腹腔镜修补术和开腹修补术后胃肠动力的恢复情况。方法纳入我院2014年6月至2015年5月收治的胃穿孔病人80例,根据随机数字表法分为研究组、对照组,每组40例,研究组进行腹腔镜修补术,对照组进行开腹修补术,比较两组的手术时间、住院时间、肛门排气时间、恢复肠鸣音时间等指标;比较两组术后1 h、术后24 h、术后48 h、术后72 h的血清促胃液素水平。结果研究组的手术时间、住院时间、肛门排气时间、恢复肠鸣音时间等指标显著优于对照组,差异有统计学意义(P<0.05);研究组术后1 h、术后24 h、术后48 h、术后72 h的血清促胃液素水平显著高于对照组,差异有统计学意义(P<0.05)。结论胃穿孔病人进行腹腔镜修补术,术后胃肠动力恢复迅速,临床效果确切,值得临床推广。

Objective To compare the recovery of gastrointestinal motility after laparoscopic repair and open operation for patients with gastric perforation. Methods 80 patients with gastric perforation treated in our hospital from June 2014 to May 2015 were selected and randomly divided into study group and control group, with 40 cases in each group. The study group adopted laparoscopic repair, while the control group adopted open operation. The operation time, hospitalization time, anus exhaust time, time of recovering bowel sound of two groups were compared; the levels of serum gastrin 1 h, 24 h, 48 h and 72 h after treatment of two groups were compared. Results The clinical indicators including operation time, hospitalization time, anus exhaust time, time of recovering bowel sound of the study group were significantly better than those of the control group （P〈0.05）. The levels of serum gastrin of the study group 1 h, 24 h , 48 h and 72 h after treatment were significantly higher than those of the control group （P〈0.05）. Conclusions For patients with gastric perforation, laparoscopic repair has an obvious effect in fast recovery of gastrointestinal motility, which is worthy of clinical promotion.