关键词: 非外伤性, 胃肠穿孔, 腹腔镜手术, 开腹手术, 临床疗效

Abstract:

Objective To observe and compare the clinical effi cacy of open surgery with laparoscopic surgery in the treatment of non-traumatic perforation of stomach and small intestine. Method The clinical data of patients with upper digestive tract perforation admitted to Kunshan Traditional Chinese Medicine Hospital Affi liate to Nan-jing University of Chinese Medicine from February 2016 to March 2022 were retrospectively analyzed. Among them, 53 cases underwent laparoscopic surgery and 46 cases underwent open surgery. The perioperative indicators of the two groups, such as gender, age, body mass index, operation time, anal exhaust time, length of stay, postop-erative infl ammation, nutritional status and surgery complications were compared and analyzed. Result There was no signifi cant diff erence in preoperative basic data such as age and gender between the two groups (P ＞ 0.05). Compared with the open group, the operation time of the laparoscopic group was shorter [(55.5±21.6) min vs.

(76.1±47.2)min, P ＜ 0.005]. postoperative anal exhaust time was early [(3.4±1.2)d vs. (5.4±1.0)d, P ＜ 0.001], abdominal drainage tube placement time was short [(5.8±1.2)d vs. (7.9±1.7)d, P ＜ 0.001]. the hospital stay was shorter [(9.9±2.3)d vs. (13.4±4.8)d, P ＜ 0.001], and the total cost was lower [(1.58±0.50)ten thousand yuan vs. (2.54±1.58)ten thousand yuan, P ＜ 0.001]. In addition, the laparoscopic group had better infl ammation and nutritional indexes three days after surgery(P ＜ 0.05), and there was no signifi cant diff erence in the incidence of postoperative complications between the two groups (P ＞ 0.05). Conclusion Under the condition of the indications of laparoscopic surgery, laparoscopic surgery has signifi cant clinical eff ect, less surgical trauma, and faster postop-erative recovery, which is worthy of clinical application.

Key words: Non-traumatic, Gastrointestinal perforation, Laparoscopic surgery, Open surgery, Clinical eff ect