腹腔镜与开腹手术下行胃穿孔修补术的综合疗效比较

Comparison of the Combined Effect of Laparoscopy and Laparotomy for Gastric Perforation

目的比较腹腔镜与开腹手术下行胃穿孔修补术的综合疗效。方法将2012年2月—2017年1月于本院实施胃穿孔修补术的62例患者做为分析对象,将其按照治疗方式纳入腹腔镜组与开腹组(n=31)。腹腔镜组患者腹腔镜下行胃穿孔修补术,开腹组实施常规胃穿孔修补术,比较两组患者手术相关指标及术后恢复情况。结果腹腔镜组患者的术中出血量、术后排气时间及住院时间均优于开腹组患者,组间差值对比存在统计学意义(P<0.01)。开腹组患者术后并发症发生率为19.35%,与胸腔镜组患者并发症发生率3.23%相比,差异存在统计学意义(P<0.01)。结论相较于开腹手术治疗,腹腔镜下行胃穿孔修补术效果更加理想,能够在缩短患者术后排气时间、住院时间基础上,降低患者术后并发症发生率。

Objective Comparing laparoscopy and laparotomy downward the comprehensive efficacy of surgical repair of gastric perforation.Methods 62 cases of gastric perforation repair in our hospital from February 2012 to January 2017 were analyzed.They were divided into laparoscopic group and open group(n=31)according to the treatment.Laparoscopic repair of gastric perforation in laparoscopic group.Routine gastric perforation was performed in the laparotomy group.The operation related indicators and postoperative recovery of two groups were compared.Results The laparoscopic group of patients with intraoperative blood loss,postoperative exhaust time and hospital stay were superior to laparotomy group of patients,there is statistical significance difference contrast between groups(P<0.01).Open group of patients the incidence of postoperative complications was 19.35%,compared with 3.23%incidence of complications in patients with thoracoscope group,there are statistically significant difference(P<0.01).Conclusion Compared with open surgery,laparoscopic downward gastric perforation repair effect is more ideal,in patients with postoperative exhaust time,length of hospital stay,reduce the incidence of patients with postoperative complications.