腹腔镜修补术治疗胃十二指肠溃疡急性穿孔的效果刍议

Effect of Laparoscopic Repair on Acute Perforation of Gastroduodenal Ulcer

目的对腹腔镜修补术治疗胃十二指肠溃疡急性穿孔的临床疗效和应用价值进行分析和研究。方法选择该院收治的胃十二指肠溃疡急性穿孔患者共计90例作为该次研究的纳入对象,选取时间段为2017年1月-2018年6月,依据病历的单双号将这些患者划分为传统手术组和腹腔镜修补术组,各45例。通过开腹穿孔修补术治疗传统手术组患者,通过腹腔镜穿孔修补术来治疗腹腔镜修补术组患者,对两组患者在治疗后的临床效果进行比较。结果传统手术组的手术时间为(84.1±7.5)min,切口长度为(15.9±3.4)cm,排气时间为(69.3±25.0)h,下床活动时间为(24.5±4.3)h,腹腔镜修补术组的的手术时间为(60.9±5.1)min,切口长度为(3.2±0.5)cm,排气时间为(43.8±19.2)h,下床活动时间为(11.9±2.5)h。在上述各种指标方面,腹腔镜修补术组均明显优于传统手术组,差异有统计学意义(t=3.469、3.751、3.326、2.705,P<0.05)。在术后并发症发生情况方面,腹腔镜修补术组明显低于传统手术组,,差异有统计学意义(χ^2=7.635,P<0.05)。结论在胃十二指肠溃疡急性穿孔的临床治疗中应用腹腔镜修补术具有很好的效果,手术切口更小,还能够减少手术时间,并发生发生率更低。

Objective To analyze and study the clinical efficacy and application value of laparoscopic repair for acute perforation of gastroduodenal ulcer. Methods A total of 90 patients with acute perforation of gastroduodenal ulcer admitted to the hospital were enrolled as subjects of this study. The time period was from January 2017 to June 2018.These patients were divided according to the single and double numbers of medical records. For the conventional surgery group and the laparoscopic repair group, there were 45 cases in each group. The patients in the traditional operation group were treated with open perforation repair, and the patients in the laparoscopic repair group were treated by laparoscopic perforation repair. The clinical effects of the two groups were compared after treatment. Results The operation time of the traditional operation group was(84.1±7.5) min, the length of the incision was(15.9±3.4) cm, the exhaust time was(69.3±25.0) h, and the time of getting out of bed was(24.5±4.3) h, Laparoscopy operation time of the repair group was(60.9±5.1) min, the length of the incision was(3.2±0.5) cm, the exhaust time was(43.8±19.2) h, and the time of getting out of bed was(11.9±2.5) h. In the above various indicators, the laparoscopic repair group was significantly better than the traditional surgery group, with a large difference(t=3.469, 3.751, 3.326, 2.705, P<0.05). In terms of postoperative complications, the laparoscopic repair group was significantly lower than the conventional surgery group, with a large difference(χ^2=7.635, P <0.05). Conclusion Laparoscopic repair has a good effect in the clinical treatment of acute perforation of gastroduodenal ulcer. The surgical incision is smaller, and the operation time can be reduced and the incidence is lower.