中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
25期
54-55
,共2页
急性胃穿孔%腹腔镜%穿孔修补术%疗效对比
急性胃穿孔%腹腔鏡%穿孔脩補術%療效對比
급성위천공%복강경%천공수보술%료효대비
Acute gastric perforation%Laparoscope%Perforation repair%Comparison of curative effect
目的：探讨和研究腹腔镜手术与开腹手术治疗急性胃穿孔的临床疗效对比。方法研究对象选取为2008年1月—2013年12月间该院收治的120例急性胃穿孔患者，根据手术方案不同分为两组，对照组60例患者采用开腹手术，观察组60例患者采用腹腔镜下穿孔修补术，对两组患者的手术时间、术中出血量、肛门排气时间、住院时间、疼痛分级以及术后并发症情况等统计对比。结果观察组患者的手术时间、术中出血量、肛门排气时间、住院时间以及疼痛分级均显著低于对照组，差异有统计学意义（P＜0.05）；观察组患者的术后并发症发生率为5.0%，显著低于对照组的13.3%，差异有统计学意义（P＜0.05）。结论腹腔镜下穿孔修补术治疗急性胃穿孔的疗效确切，能够控制手术创伤，缩短康复时间，减少并发症发生率，值得在临床上推广和应用。
目的：探討和研究腹腔鏡手術與開腹手術治療急性胃穿孔的臨床療效對比。方法研究對象選取為2008年1月—2013年12月間該院收治的120例急性胃穿孔患者，根據手術方案不同分為兩組，對照組60例患者採用開腹手術，觀察組60例患者採用腹腔鏡下穿孔脩補術，對兩組患者的手術時間、術中齣血量、肛門排氣時間、住院時間、疼痛分級以及術後併髮癥情況等統計對比。結果觀察組患者的手術時間、術中齣血量、肛門排氣時間、住院時間以及疼痛分級均顯著低于對照組，差異有統計學意義（P＜0.05）；觀察組患者的術後併髮癥髮生率為5.0%，顯著低于對照組的13.3%，差異有統計學意義（P＜0.05）。結論腹腔鏡下穿孔脩補術治療急性胃穿孔的療效確切，能夠控製手術創傷，縮短康複時間，減少併髮癥髮生率，值得在臨床上推廣和應用。
목적：탐토화연구복강경수술여개복수술치료급성위천공적림상료효대비。방법연구대상선취위2008년1월—2013년12월간해원수치적120례급성위천공환자，근거수술방안불동분위량조，대조조60례환자채용개복수술，관찰조60례환자채용복강경하천공수보술，대량조환자적수술시간、술중출혈량、항문배기시간、주원시간、동통분급이급술후병발증정황등통계대비。결과관찰조환자적수술시간、술중출혈량、항문배기시간、주원시간이급동통분급균현저저우대조조，차이유통계학의의（P＜0.05）；관찰조환자적술후병발증발생솔위5.0%，현저저우대조조적13.3%，차이유통계학의의（P＜0.05）。결론복강경하천공수보술치료급성위천공적료효학절，능구공제수술창상，축단강복시간，감소병발증발생솔，치득재림상상추엄화응용。
Objective To compare and study the clinical efficacy between laparoscopic operation and laparotomy for the treatment of acute gastric perforation. Methods 120 cases with acute gastric perforation admitted in our hospital from January 2008 to De-cember 2013 were divided into two groups according to different operation schemes. 60 cases in the control group were treated by laparotomy perforation repair, and 60 cases in the observation group were treated by laparoscopic perforation repair. The operation time, intraoperative bleeding volume, anal exhaust time, length of stay, pain grade and postoperative complications and so on of the two groups were counted and compared. Results The operation time, intraoperative bleeding volume, anal exhaust time, length of stay, pain grade of the observation group were significantly less than those of the control group, the differences were statistically significant (P<0.05). The incidence of postoperative complications of the observation group was 5.0%, obviously lower than 13.3%of the control group, the difference was statistically significant (P<0.05). Conclusion Laparoscopic perforation repair has definite efficacy in the treatment of acute gastric perforation, which can control the operation trauma, shorten the recovery time, reduce the incidence of complications, and is worthy of clinical popularization and application.
