腹腔镜修补术对胃溃疡穿孔患者胃肠动力恢复效果观察

目的观察腹腔镜修补术对胃溃疡穿孔患者胃动力恢复的临床疗效。方法从胃溃疡穿孔患者中随机抽取112例作为研究对象,并将研究对象随机分为研究组和对照组,各56例。给予研究组患者胃穿孔腹腔镜修补术治疗,给予对照组开腹修补术治疗,比较2组患者胃肠动力恢复情况。结果研究组患者术后1 h、24 h、48 h、72 h的胃泌素含量分别是(36.9±9.4)、(48.2±10.3)、(58.5±14.3)、(59.3±19.8),对照组术后1 h、24 h、48 h、72 h的胃泌素含量分别是(34.2±3.2)、(39.8±9.8)、(45.2±10.7)、(50.1±10.3);研究组肠鸣音恢复时间、肛门排气时间和住院时间分别是(12.3±5.4)、(62.7±15.3)、(5.2±0.8),对照组肠鸣音恢复时间、肛门排气时间和住院时间分别是(29.4±9.2)、(88.3±18.7)、(7.3±1.2)。研究组患者在肛门排气时间、肠鸣音恢复时间、血清胃泌素以及住院时间上与对照组比较,均显著优于对照组,差异有统计学意义(P<0.05)。结论对胃溃疡穿孔患者,胃穿孔腹腔镜修补治疗较传统开腹手术治疗更有效,值得临床推广和应用。

Objective To study the effect of gastric perforation of laparoscopic repair in the treatment of gastric ulcer perforation clinical. Methods 112 cases were randomly divided into the research group and the control group. The research group was given laparoscopic repair and the control group was given open repair. The recovery of astrointestinal motility in the two groups was compared. Results The content of gastrin content of gastrin postoperative patients in the study group, 1 h, 24 h, 48 h, 72 h respectively （36.9±9.4）, （48.2±10.3）, （58.5±14.3）, （59.3±19.8） and control group, 1 h, 24 h, 48 h, 72 h respectively （34.2±3.2）, （39.8＋9.8）, （45.2±10.7）, （50.1 ±10.3）; the study group of bowel sounds recovery time, anal exhaust time and hospital stay were （12.3±5.4）, （62.7±15.3） and （5.2±0.8） and the control group of bowel sounds recovery time, anal exhaust time and hospital stay were （29.4±9.2）, （88.3±18.7） and （7.3±1.2）. The patients with team in the anus exhaust time, time, serum gastric bowel sounds gastrin- releasing and length of hospital stay compared with control group, were significantly better than the control group （P〈0.05）. Conclusion The method of laparoscopic repair of gastric perforation in patients with gastric ulcer perforation is more effective than that of traditional open surgery, which is worthy of clinical application and promotion.