腹腔镜上消化道穿孔修补术治疗上消化道穿孔的临床研究

Clinical Study of Laparoscopic Upper Digestive Tract Perforation Repair for Upper Digestive Tract Perforation

目的:探讨腹腔镜上消化道穿孔修补术治疗上消化道穿孔的效果及安全性。方法:选取2015年9月-2017年10月本院收治的上消化道穿孔患者80例为研究对象,根据手术方式不同将患者分为对照组(n=39)与研究组(n=41)。对照组采取传统开腹手术,研究组则采取腹腔镜上消化道穿孔修补术。观察两组手术治疗效果,比较两组患者的手术时间、术中出血量、术后引流量以及住院时间,同时对比分析两组患者相应住院费用及术后状况,并在术后,记录两组患者的并发症发生情况,对两组的安全性进行比较。结果:研究组总有效率显著高于对照组,差异有统计学意义(P<0.05)。研究组患者术中相关指标均显著优于对照组,差异均有统计学意义(P<0.05)。术后研究组患者并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。研究组患者的住院费用及相应术后指标均显著优于对照组,差异均有统计学意义(P<0.05)。结论:上消化道穿孔患者采用腹腔镜上消化道穿孔修补术的治疗效果、住院时间、住院费用等均优于传统开腹手术治疗,且前者安全性较后者更高。

Objective:To investigate the efficacy and safety of laparoscopic upper gastrointestinal perforation repair for patients with perforation of the upper digestive tract.Method:Eighty patients with perforation of the upper digestive tract were selected from September 2015 to October 2017 in our hospital.Patients were divided into control group(n=39)and study group(n=41)according to different surgical methods,the control group underwent traditional laparotomy,while the study group underwent laparoscopic perforation of the upper digestive tract.The surgical treatment effect,operation time,intraoperative blood loss,postoperative drainage volume and hospitalization time of the two groups were compared,and the corresponding hospitalization cost and postoperative status of the two groups were analyzed,after the operation,the complications of the two groups were recorded,the safety of the two groups were compared.Result:The total effective rate of the study group was significantly higher than that of control group,the difference was statistically significant(P<0.05).The intraoperative relevant indicators in the study group were significantly better than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the postoperative of study group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Hospitalization expenses and corresponding postoperative indexes of the study group were significantly better than those of the control group,with statistically significant differences(P<0.05).Conclusion:Laparoscopic upper gastrointestinal perforation repair for patients with upper gastrointestinal perforation has better therapeutic effect,length of stay and hospitalization cost than traditional open surgery,and the safety of the former is higher than that of the latter.