CAJ | 학술논문

目的：研究腹腔镜和开腹手术治疗急性胃穿孔的效果。方法选取本院自2012年3月~2014年3月间收治的92例急性胃穿孔患者，随机分为对照组和观察组，46例/组，对照组采用开腹手术，观察组使用腹腔镜穿孔修补术，对比两组患者的手术时间、出血量、肛门排气时间、住院时间以及术后并发症等指标。结果经过分组治疗，观察组比对照组在手术时间、出血量、肛门排气时间、住院时间等指标上都有显著提高。并发症统计，观察组出现并发症1例，发生率为2.17%，对照组出现并发症5例，发生率10.87%，观察组的手术指标以及并发症发生率明显优于对照组（P＜0.05），具有统计学意义。结论采用腹腔镜穿孔修补术可以有效提升手术指标，减少并发症的发生。
목적：연구복강경화개복수술치료급성위천공적효과。방법선취본원자2012년3월~2014년3월간수치적92례급성위천공환자，수궤분위대조조화관찰조，46례/조，대조조채용개복수술，관찰조사용복강경천공수보술，대비량조환자적수술시간、출혈량、항문배기시간、주원시간이급술후병발증등지표。결과경과분조치료，관찰조비대조조재수술시간、출혈량、항문배기시간、주원시간등지표상도유현저제고。병발증통계，관찰조출현병발증1례，발생솔위2.17%，대조조출현병발증5례，발생솔10.87%，관찰조적수술지표이급병발증발생솔명현우우대조조（P＜0.05），구유통계학의의。결론채용복강경천공수보술가이유효제승수술지표，감소병발증적발생。
Objective To study the laparoscopic and open surgery for the treatment of acute gastric perforation. Methods Our hospital from March 2012 to March 2014 were 92 cases of patients with acute gastric perforation, randomly divided into control group and observation group, 46 cases/group, control group adopts open operation, observation group used laparoscopic repair of perforation, compared two groups of patients with operation time, blood loss, length of hospital stay, anal exhaust time and postoperative complications such as index. Results After treatment group, the observation group than the control group in the operation time, blood loss, length of hospital stay, anal exhaust time on indicators have improved signiifcantly. Complications, statistics, observation group of complications in 1 case, rate of 2.17%, the control of complications in 5 cases, the incidence of 10.87%, operation index and complications of observation group was obviously better than the control group (P<0.05), with statistical significance. Conclusion The laparoscopic repair of perforation can effectively improve operation indicators, reduce complications.