腹腔镜与开腹治疗急性胃穿孔的疗效对比分析

Effect of laparoscopic treatment and laparotomy on acute gastric perforation

目的:探究腹腔镜与开腹治疗急性胃穿孔的疗效比较。方法:选取我院收治的156例急性胃穿孔患者,根据患者意愿选取不同术式而分为开腹组和腹腔镜组各78例,观察记录两组临床疗效及手术安全性。结果:腹腔镜组的术中出血量、排气时间、肠鸣音恢复时间、下床活动时间、住院天数均短于开腹组,差异有统计学意义(P<0.05)。腹腔镜组术后并发症率为3.8%,明显低于开腹组的15.4%,差异有统计学意义(P<0.05)。术后随访6个月,两组复发率比较无统计学意义(P>0.05)。结论:腹腔镜治疗急性胃穿孔术后复发率与开腹手术相似,且术后康复较快,并发症率较低,适于临床应用。

Objective： To discuss the different effect of laparoscopic treatment and laparotomy on acute gastric perforation. Methods： 156 patients with acute gastric perforation in our hospital were divided into laparoscopic group and the laparotomy group with 78 cases in each group. The clinical efficacy and safety in patients of both groups were observed and recorded. Results： Intraoperative blood loss,time of anal exhaust,peristaltic sound recovery time,time of off-bed,hospital stay in the laparoscopic group were all shorter than those of the control group,which were of statistical differences（ P〈0.05）. The postoperative complications rate of the laparoscopic group was 3.8%,obviously shorter than 15.4% in the control group,which was of statistical significance（ P〈0.05）. Patients had been followed-up for 6 months after surgery,and it found that there was no statistical difference of the recurrence rate between patients in both groups,which had no statistical difference（ P〉0.05）. Conclusion： Though the recurrence rate in both group seems alike,laparoscopic treatment in acute gastric perforation brings quicker recovery,lower occurrence of complications to patients,which will be worthy of clinical application.