腹腔镜下消化道穿孔的治疗体会

目的:探讨腹腔镜技术治疗消化道穿孔的临床疗效。方法:回顾性分析82例消化道穿孔患者的临床资料,51例腹腔镜手术者为观察组,31例行开腹手术者为对照组,比较分析两组的手术情况与效果。结果:观察组的切口长度、手术时间、术中出血量均显著减少(P<0.05),术后下床活动时间、肛门排气时间及住院时间均显著缩短,切口疼痛评分均显著降低(P<0.05);两组术后并发症比较差异无统计学意义(P>0.05);两组均无死亡、肠梗阻及穿孔复发病例。结论:腹腔镜手术治疗消化道穿孔安全可靠、疗效确切、术后恢复快,值得推广应用。

Objective: To investigate the clinical efficacy of laparoscopic technique in the treatment of digestive tract perforation. Methods: retrospective analysis of the clinical data of 82 cases of patients with digestive tract perforation, 51 cases of laparoscopic surgery in the observation group, 31 patients underwent open surgery as control group, comparative analysis of operation situation and effect of the two groups. Results: in the observation group, the length of incision, operative time, bleeding volume were significantly reduced(P < 0.05), postoperative bed activity time, anal exhaust time and hospital stay were significantly shortened, incision pain scores were significantly lower(P < 0.05); two groups of postoperative complications difference no statistical significance(P > 0.05). Two groups were no deaths, intestinal obstruction and perforation cases of recurrence. Conclusion: laparoscopic operation in the treatment of digestive tract perforation is safe, reliable, accurate and quick recovery. It is worth to be popularized.