临床普外科电子杂志 ›› 2019, Vol. 7 ›› Issue (4): 14-.

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腹腔镜修补术治疗胃穿孔术后胃肠动力恢复及预后分析

  

  1. 四会市人民医院 外一科,广东 四会 526200
  • 出版日期:2019-10-01 发布日期:2020-01-14

Analysis of gastrointestinal motility recovery and prognosis after laparoscopic repair for gastric perforation

  1. Department of Frist Surgery, the People's Hospital of Sihui, Sihui, Guangdong, 526200
  • Online:2019-10-01 Published:2020-01-14

摘要: 摘要:目的 分析腹腔镜修补术治疗胃穿孔术后胃肠动力恢复及预后分析。方法 选择2016 年2 月至
2019 年2 月四会市人民医院收治的91 例胃穿孔患者,按随机数表分为对照组和研究组,对照组45 例采
用开腹修补术,研究组46 例采用腹腔镜修补术,对两组胃肠动力恢复及预后进行比较。结果 研究组临
床治疗总有效95.65% 比对照组高(P<0.05);研究组患者出血量(21.59±4.31)ml、肠鸣音恢复时
间(12.85±4.77)h 和住院时间(6.32±1.20)d 明显少于对照组(P<0.05);且研究组患者并发症6.52%,
比对照组低,差异比较具有统计意义(P<0.05)。结论 腹腔镜修补术治疗胃穿孔患者,可促进肠
胃蠕动,减少住院时间,降低并发症发生率,有效提高临床治疗疗效,临床上值得推广使用。

关键词: 关键词:腹腔镜修补术, 胃穿孔, 胃肠动力, 预后

Abstract: Abstract: Objective To analyze the gastrointestinal motility recovery and prognosis after laparoscopic
repair for gastric perforation. Methods From February 2016 to February 2019,91 patients with gastric
perforation were enrolled in the hospital. They were divided into two groups according to the random number
table. The 45 patients in the control group were treated with open surgery, and 46 patients in the study group
were treated with laparoscopic repair. The gastric motility recovery and prognosis were compared between
the two groups. Results The total effective rate of clinical treatment in the study group was 95.65%which was
higher than that in the control group (P<0.05). The bleeding volume (21.59±4.31)ml, recovery time of bowel
sounds (12.85±4.77)h and hospitalization time (6.32±1.20)d in the study group was signifi cantly less
than the control group (P<0.05); and thecomplication in study group was 6.52%, which was lower than
the control group, and the difference was statistically signifi cant (P<0.05). Conclusion The laparoscopic
repair for patients with gastric perforation can promote gastrointestinalmotility, reduce hospitalization
time, reducethe incidence of complications, and effectively improve the clinical treatment effect. It is
worthy of popularization in clinical use.

Key words: Key words: Laparoscopic repair, Gastricperforation, Gastrointestinalmotility, Prognosis