腹腔镜微创手术治疗胃穿孔的效果及对胃肠动力恢复的影响
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摘要
目的探讨腹腔镜下微创手术治疗胃穿孔的效果及对胃肠动力恢复的影响。方法选取我院2016年1月至2018年6月收治的胃穿孔患者76例,依照住院日期单双号将其分为参照组和试验组,每组38例。参照组运用开放性修补术,试验组运用腹腔镜下微创手术,比较两组患者的治疗效果。结果试验组的治疗总有效率显著高于参照组(P<0.05)。术后1d,两组胃泌素水平均升高,且试验组显著高于参照组(P<0.05)。试验组的肛门排气时间、肠鸣音恢复时间均显著短于参照组(P<0.05)。试验组的术中出血量显著少于参照组,手术用时显著长于参照组,住院用时显著短于参照组(P<0.05)。试验组的并发症总发生率显著低于参照组(P<0.05)。结论在胃穿孔的治疗中,腹腔镜下微创手术的治疗成效突出,虽然手术用时较长,但有利于患者胃肠动力的恢复,且对患者术后发生并发症的可能性有降低作用,能够加快患者身体康复。
Objective To explore the effect of laparoscopic minimally invasive surgery on gastric perforation and its effect on gastrointestinal motility recovery. Methods A total of 76 patients with gastric perforation admitted in our hospital from January 2016 to June 2018 were enrolled and divided into reference group and experimental group according to the single or double of hospitalization date, with 38 cases in each group. The reference group used open repair surgery, the experimental group used laparoscopic minimally invasive surgery. The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was significantly higher than that of the reference group(P<0.05). At 1 day after surgery, the gastrin levels in the two groups increased, and that of the experimental group was significantly higher than the reference group(P<0.05). The anus exhaust time and bowel sound recovery time of the experimental group were significantly shorter than those in the reference group(P <0.05). The intraoperative blood loss amount of the experimental group was significantly less than that of the reference group, and the time of surgery was significantly longer than that of the reference group, the hospitalization time was significantly shorter than that of the reference group(P<0.05). The total incidence of complications in the experimental group was significantly lower than that in the reference group(P<0.05). Conclusion In the treatment of gastric perforation, the treatment of laparoscopic minimally invasive surgery has outstanding results. Although the operation time is longer, it is beneficial to the recovery of gastrointestinal motility, and it has the effect of reducing the possibility of postoperative complications, accelerate the physical recovery of patients.
Objective To explore the effect of laparoscopic minimally invasive surgery on gastric perforation and its effect on gastrointestinal motility recovery. Methods A total of 76 patients with gastric perforation admitted in our hospital from January 2016 to June 2018 were enrolled and divided into reference group and experimental group according to the single or double of hospitalization date, with 38 cases in each group. The reference group used open repair surgery, the experimental group used laparoscopic minimally invasive surgery. The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the experimental group was significantly higher than that of the reference group(P<0.05). At 1 day after surgery, the gastrin levels in the two groups increased, and that of the experimental group was significantly higher than the reference group(P<0.05). The anus exhaust time and bowel sound recovery time of the experimental group were significantly shorter than those in the reference group(P <0.05). The intraoperative blood loss amount of the experimental group was significantly less than that of the reference group, and the time of surgery was significantly longer than that of the reference group, the hospitalization time was significantly shorter than that of the reference group(P<0.05). The total incidence of complications in the experimental group was significantly lower than that in the reference group(P<0.05). Conclusion In the treatment of gastric perforation, the treatment of laparoscopic minimally invasive surgery has outstanding results. Although the operation time is longer, it is beneficial to the recovery of gastrointestinal motility, and it has the effect of reducing the possibility of postoperative complications, accelerate the physical recovery of patients.
引文
[1]晋志科,刘涛,李宗涛.腹腔镜下修补术与开腹手术治疗溃疡性胃穿孔的疗效对比研究[J].临床医药文献电子杂志,2016,3(4):637-638.
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[5]王新杰,李浩,蔡灵乐,等.腹腔镜微创手术治疗胃穿孔的疗效及对患者的血清胃泌素水平的影响[J].医药论坛杂志,2017,38(6):108-110.
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[11]严云晖,李介秋.腹腔镜微创与开放性修补术治疗胃穿孔对胃肠动力的影响[J].齐齐哈尔医学院学报,2016,37(5):641-642.
[12]景小松,宋展,吕柯,等.腹腔镜下胃穿孔手术治疗胃穿孔40例[J].实用中西医结合临床,2017,17(1):64-65.
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[14]钟劢文.腹腔镜微创手术在改善胃穿孔患者胃肠动力中的作用研究[J].现代诊断与治疗,2017,28(22):4127-4128.
[15]万登福,谭正敏.腹腔镜下胃穿孔修补术治疗胃穿孔的效果探析[J].当代医药论丛,2017,15(1):56-58.
[16]岳海峰.腹腔镜下胃穿孔手术70例临床效果观察[J].临床合理用药杂志,2017,10(5):102-103.
[17]贾向乾.观察腹腔镜下胃穿孔手术患者的临床疗效[J].世界最新医学信息文摘,2016,16(48):160.
[18]刘义凯.腹腔镜下微创手术治疗胃穿孔的疗效及对胃肠动力恢复的影响[J].临床医学,2018,38(3):79-80.
[19]黄进,刘晓翔.胃穿孔微创术式与传统开放性修补术对患者胃肠动力的影响研究[J].河北医学,2016,22(1):40-43.
[20]张进,胡军.胃穿孔腹腔镜修补术后患者胃肠动力恢复效果评价[J].当代医学,2015,21(9):93-94.
[21]郭强,李小兵.腹腔镜修补术治疗胃穿孔手术方法及疗效分析[J].中外医疗,2016,35(4):80-81.
[22]贾腾飞,李源,陈兵.腹腔镜下胃穿孔修补术与开腹胃穿孔修补术的疗效对比[J].临床医药文献电子杂志,2016,3(30):5944.
[2]赵煜韬.腹腔镜下胃穿孔手术的临床分析[J].世界最新医学信息文摘,2015,15(77):149-150.
[3]闫毅,毛天敏.腹腔镜与开放性修补术治疗胃穿孔对胃肠动力的影响分析[J].微创医学,2017,12(6):786-788.
[4]林莉,朱一宁,朱智军,等.腹腔镜微创手术对胃穿孔患者的疗效及胃肠动力的影响[J].现代生物医学进展,2017,17(9):1732-1734.
[5]王新杰,李浩,蔡灵乐,等.腹腔镜微创手术治疗胃穿孔的疗效及对患者的血清胃泌素水平的影响[J].医药论坛杂志,2017,38(6):108-110.
[6]翁锦辉.胃穿孔实施腹腔镜下手术的治疗分析[J].医学信息,2015,28(30):96-97.
[7]朱宗恒,何韵彬,史火喜,等.腹腔镜下治疗胃穿孔手术疗效分析[J].结直肠肛门外科,2016,22(s1):29-30.
[8]麦周清.腹腔镜下胃穿孔修补术临床分析[J].河南外科学杂志,2016,22(2):80-81.
[9]傅豪.腹腔镜下行胃穿孔手术的临床疗效分析[J].中国实用医药,2016,11(13):91-92.
[10]高鹏.观察腹腔镜下胃穿孔手术患者的临床疗效[J].中国医药指南,2016,14(31):49-50.
[11]严云晖,李介秋.腹腔镜微创与开放性修补术治疗胃穿孔对胃肠动力的影响[J].齐齐哈尔医学院学报,2016,37(5):641-642.
[12]景小松,宋展,吕柯,等.腹腔镜下胃穿孔手术治疗胃穿孔40例[J].实用中西医结合临床,2017,17(1):64-65.
[13]王益强.用腹腔镜下胃穿孔手术治疗胃穿孔的效果观察[J].当代医药论丛,2015,13(14):230-231.
[14]钟劢文.腹腔镜微创手术在改善胃穿孔患者胃肠动力中的作用研究[J].现代诊断与治疗,2017,28(22):4127-4128.
[15]万登福,谭正敏.腹腔镜下胃穿孔修补术治疗胃穿孔的效果探析[J].当代医药论丛,2017,15(1):56-58.
[16]岳海峰.腹腔镜下胃穿孔手术70例临床效果观察[J].临床合理用药杂志,2017,10(5):102-103.
[17]贾向乾.观察腹腔镜下胃穿孔手术患者的临床疗效[J].世界最新医学信息文摘,2016,16(48):160.
[18]刘义凯.腹腔镜下微创手术治疗胃穿孔的疗效及对胃肠动力恢复的影响[J].临床医学,2018,38(3):79-80.
[19]黄进,刘晓翔.胃穿孔微创术式与传统开放性修补术对患者胃肠动力的影响研究[J].河北医学,2016,22(1):40-43.
[20]张进,胡军.胃穿孔腹腔镜修补术后患者胃肠动力恢复效果评价[J].当代医学,2015,21(9):93-94.
[21]郭强,李小兵.腹腔镜修补术治疗胃穿孔手术方法及疗效分析[J].中外医疗,2016,35(4):80-81.
[22]贾腾飞,李源,陈兵.腹腔镜下胃穿孔修补术与开腹胃穿孔修补术的疗效对比[J].临床医药文献电子杂志,2016,3(30):5944.
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