腹腔镜与开腹手术在胃穿孔修补中的临床对比

Clinical comparison of laparoscopic and open surgery in repairing gastric perforation

目的对比分析腹腔镜修补术、开腹修补术应用于胃穿孔治疗中的临床价值。方法选取2017年9月至2019年3月本院收治的62例胃穿孔患者作为研究对象,按照随机数字表法分为研究组和对照组,每组31例。研究组患者行腹腔镜修补术,对照组患者行开腹修补术。比较两组手术情况、术后恢复及不良反应发生情况。结果两组患者穿孔部位修补成功率均为100.00%,研究组手术时间、术后引流时间与对照组对比差异无统计学意义,研究组术中出血量显著低于对照组(P<0.05);研究组术后肠鸣音恢复时间、术后首次排气时间、术后住院时间均显著少于对照组(P<0.05);研究组术后不良反应发生率(9.68%)低于对照组(35.48%),差异有统计学意义(P<0.05)。结论应用腹腔镜手术治疗胃穿孔有效性、安全性均较优,有利于保障患者疗效及预后。

Objective To compare and analyze the practical value of laparoscopic repair and open repair in the treatment of gastric perforation.Methods 62 patients with gastric perforation admitted to our hospital from September 2017 to March 2019 were randomly selected as the study subjects.They were divided into study group and control group by random number table method,with 31 cases in each group.Laparoscopic repair was performed in the study group,while open repair was performed in the control group.The operation,recovery and adverse reactions were compared in both groups.Results The success rate of repairing perforation site in both groups was 100.00%.Compared with the control group,the operation time and drainage time in the study group were not significant different.The bleeding volume in the study group was significantly lower than that in the control group(P<0.05).The recovery time of bowel sounds,the first exhaust time after operation and the hospital stay after operation in the study group were significantly less than those in the control group(P<0.05).The incidence of adverse reaction(9.68%)was lower than that of control group(35.48%),the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery is effective and safe in the treatment of gastric perforation,which is conducive to ensuring the efficacy and prognosis of patients.