腹腔镜微创修补术与开腹修补术治疗胃溃疡合并胃穿孔患者的效果比较

Comparison of effects of laparoscopic minimally invasive repair and open repair in treatment of gastric ulcer with gastric perforation

目的:比较腹腔镜微创修补术与开腹修补术治疗胃溃疡合并胃穿孔患者的效果。方法:选取86例胃溃疡合并胃穿孔患者为研究对象,根据随机数字表法将其分为观察组和对照组各43例。对照组行开腹修补术治疗,观察组行腹腔镜微创修补术治疗,比较两组围术期指标水平、手术前后胃电节律指标水平、术后1周并发症发生率和随访3个月复发率。结果:观察组手术时间和住院时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);术后,观察组餐前、餐后胃电频率和幅值均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.33%(1/43),低于对照组的18.60%(8/43),差异有统计学意义(P<0.05);观察组术后复发率为4.65%(2/43),低于对照组的27.91%(12/43),差异有统计学意义(P<0.05)。结论:腹腔镜微创修补术治疗胃溃疡合并胃穿孔患者可缩短手术时间和住院时间,减少术中出血量,降低并发症发生率和术后复发率,提高胃电节律指标水平,效果优于开腹修补术治疗。

Objective:To compare effects of laparoscopic minimally invasive repair and open repair in treatment of gastric ulcer with gastric perforation.Methods:86 patients with gastric ulcer and gastric perforation were selected as the research objects and divided into observation group and control group according to the random number table method,43 cases in each group.The control group was treated with open repair,while the observation group was treated with laparoscopic minimally invasive repair.The perioperative index levels,the gastric electrical rhythm index levels before and after the surgery,the incidence of complications 1 week after the surgery,and the 6-month follow-up recurrence rate were compared between the two groups.Results:The operation time and the hospitalization time in the observation group were shorter than those in the control group;the intraoperative blood loss was less than that in the control group;and the differences were statistically significant(P<0.05).After the surgery,the frequency and amplitude of gastric electricity before and after meals in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 2.33%(1/43),which was lower than 18.60%(8/43)in the control group,and the difference was statistically significant(P<0.05).Further,the postoperative recurrence rate in the observation group was 4.65%(2/43),which was lower than 27.91%(12/43)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Laparoscopic minimally invasive repair for the patients with gastric ulcer with gastric perforation can shorten the operation time and the hospitalization time,reduce the amount of intraoperative blood loss,reduce the incidence of complications and the postoperative recurrence rate,and improve the levels of gastric electrical rhythm indicators.Moreover,it is superior to open repair.