腹腔镜修补术治疗急性胃穿孔的临床体会

Clinical experience of laparoscopic repair of acute gastric perforation

目的:探讨腹腔镜与开腹修补术治疗急性胃穿孔的临床疗效。方法:选取2015年1月至2018年10月收治的56例胃穿孔患者,分别行腹腔镜修补术(腹腔镜组)与开腹修补术(对照组),每组28例。对比分析两组治疗效果、手术时间、术中出血量、胃肠功能恢复时间及术后肠梗阻、肺部感染、切口出血等并发症发生率。结果:两组治疗总有效率差异无统计学意义(P>0.05)。腹腔镜组手术时间、术中出血量、胃肠功能恢复时间、术后并发症发生率、住院时间优于对照组(P<0.05)。结论:腹腔镜修补术治疗胃穿孔的临床疗效显著,可有效缩短术中操作时间,术后康复快,并发症较少。

Objective:To investigate the clinical effect of laparoscopic and open repair in the treatment of acute gastric perforation.Methods:Fifty-six patients with gastric perforation were selected from Jan.2015 to Oct.2018.Laparoscopic gastric perforation repair and open gastric perforation were performed in laparoscopic group(n=28)and open group(n=28)respectively.Clinical data were comparatively analyzed between the two groups,including the clinical effect,operation time,blood loss during operation,the time of gastrointestinal function recovery,and incidence of postoperative intestinal obstruction,pulmonary infection and incision bleeding.Results:There was no statistical difference in the total effective rate between the two groups(P﹥0.05).The time of operation time,blood loss during operation,gastrointestinal function recovery,incidence of postoperative complications and hospital stay in laparoscopic group were better than those in control group(P﹤0.05).Conclusions:The clinical outcome of laparoscopic repair of gastric perforation is remarkable,this procedure can effectively decrease the operation time,has advantages of quick postoperative recovery and few complications.