中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
30期
22-23,24
,共3页
腹腔镜修补术%开腹修补术%胃穿孔%胃肠动力
腹腔鏡脩補術%開腹脩補術%胃穿孔%胃腸動力
복강경수보술%개복수보술%위천공%위장동력
Laparoscopic repair%Open herniorrhaphy%Stomach perforation%Gastric motor
目的:探讨研究胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复情况的异同之处。方法:对比研究本院2010-2012年收治的100例胃穿孔患者的恢复情况,其中实施腹腔镜修补术的为55例,实施开腹修补术的为45例,研究对比指标有肛门排气时间、血清胃泌素、肠鸣音出现时间、手术后的住院时间等。结果:腹腔镜组在血清胃泌素水平、肠鸣音出现时间、肛门排气时间、住院时间方面与开腹组比较,差异有统计学意义(P<0.05),实施腹腔镜修补术的患者术后恢复效果明显好于开腹修补术患者。结论:胃穿孔患者在实施腹腔镜修补术后的胃肠动力恢复时间比实施开腹修补术的患者要短,术后的恢复效果良好,因此在临床上推广胃穿孔腹腔镜修补术是可行的,对于患者的康复具有指导意义。
目的:探討研究胃穿孔腹腔鏡脩補術與開腹脩補術術後胃腸動力恢複情況的異同之處。方法:對比研究本院2010-2012年收治的100例胃穿孔患者的恢複情況,其中實施腹腔鏡脩補術的為55例,實施開腹脩補術的為45例,研究對比指標有肛門排氣時間、血清胃泌素、腸鳴音齣現時間、手術後的住院時間等。結果:腹腔鏡組在血清胃泌素水平、腸鳴音齣現時間、肛門排氣時間、住院時間方麵與開腹組比較,差異有統計學意義(P<0.05),實施腹腔鏡脩補術的患者術後恢複效果明顯好于開腹脩補術患者。結論:胃穿孔患者在實施腹腔鏡脩補術後的胃腸動力恢複時間比實施開腹脩補術的患者要短,術後的恢複效果良好,因此在臨床上推廣胃穿孔腹腔鏡脩補術是可行的,對于患者的康複具有指導意義。
목적:탐토연구위천공복강경수보술여개복수보술술후위장동력회복정황적이동지처。방법:대비연구본원2010-2012년수치적100례위천공환자적회복정황,기중실시복강경수보술적위55례,실시개복수보술적위45례,연구대비지표유항문배기시간、혈청위비소、장명음출현시간、수술후적주원시간등。결과:복강경조재혈청위비소수평、장명음출현시간、항문배기시간、주원시간방면여개복조비교,차이유통계학의의(P<0.05),실시복강경수보술적환자술후회복효과명현호우개복수보술환자。결론:위천공환자재실시복강경수보술후적위장동력회복시간비실시개복수보술적환자요단,술후적회복효과량호,인차재림상상추엄위천공복강경수보술시가행적,대우환자적강복구유지도의의。
Objective:To explore the differences and similarities between the recovery of gastrointestinal motility of laparoscopic repair and open repair of gastric perforation after surgery. Method:100 cases with gastric 2010-2012 were compared in our hospital perforation in the recovery, including the implementation of laparoscopic repair in 55 cases,the implementation of open repair in 45 cases,comparison of indexes of serum gastrin, anal exhaust time,hospitalization time intestines bowel sound appeared,following the surgery. Result:The results showed that the gastric perforation laparoscopic repair of a group of patients in the level of serum gastrin,bowel sounds appear time,anal exhaust time,hospitalization duration and open neoplasty group significantly statistical difference(P<0.05). Laparoscopic repair of the postoperative recovery of patients was significantly better than the open herniorrhaphy patients. Conclusion:Patients with gastric perforation and recovery time are shorter than those of patients with open neoplasty in gastrointestinal motility of laparoscopic repair after operation,postoperative recovery is good,so the promotion of gastric perforation in clinical laparoscopic repair is feasible,has guiding significance for the rehabilitation of patients.