腹腔镜与开腹手术下行胃十二指肠穿孔修补术的综合疗效对比研究

Comparative Study on the Comprehensive Efficacy of Laparoscopic and Laparotomy for Repairing Gastroduodenal Perforation

目的:研究基于腹腔镜与开腹手术下采用胃十二指肠穿孔修补术的临床综合疗效。方法:选取2015年10月~2018年9月某院收治的58例胃十二指肠穿孔患者,依据随机数表法将其分为观察组与对照组。观察组患者行腹腔镜胃十二指肠穿孔修补术,对照组患者行开腹术胃十二指肠穿孔修补术,比较两组患者临床综合疗效,观察两组住院天数、首次排气时间、首次下床活动时间、术中出血量以及手术时间临床指标,比较两组患者并发症发生率。结果:观察组临床疗效(93.11%)优于对照组(72.42%),差异有统计学意义(P<0.05);观察组临床各指标均优于对照组,差异有统计学意义(P<0.05);观察组并发症发生率(10.35%)低于对照组(34.46%),差异有统计学意义(P<0.05)。结论:与开腹术下行胃十二指肠穿孔修补术相比较,腹腔镜下行胃十二指肠穿孔修补术的临床综合疗效更高,改善患者各临床指标,降低并发症发生率,进一步保障患者健康。

Objective:To study the comprehensive clinical effect of laparoscopic and laparotomy for repairing gastroduodenal perforation.Methods:58patients with gastroduodenal perforation admitted to a hospital from October 2015to September 2018were selected and divided into observation group and control group according to the random number table method.Observation patients received laparoscopic gastroduodenal perforation repair,control patients received laparotomy gastroduodenal perforation reparation.The comprehensive clinical efficacy of the two groups of patients was compared,the length of hospital stay,the time of first exhaust,the time of first out of bed activity,intraoperative blood loss and the clinical indicators of operative time were observed,and the incidence of complications in the two groups were compared.Results:The clinical efficacy of the observation group(93.11%)was better than that of the control group(72.42%),and the difference was statistically significant(P<0.05).The clinical indexes of the observation group were all superior to those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group(10.35%)was lower than that in the control group(34.46%),and the difference was statistically significant(P<0.05).Conclusion:Compared with laparoscopic gastroduodenal perforation repair under laparotomy,the clinical efficacy of laparoscopic gastroduodenal perforation repair is higher,which can improve the clinical indicators of patients,reduce the incidence of complications and further safeguard the health of patients.