腹腔镜胃、十二指肠穿孔修补术治疗上消化道穿孔的临床疗效观察
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摘要
目的探索腹腔镜胃、十二指肠穿孔修补术在上消化道穿孔治疗中的应用效果。方法 65例上消化道穿孔患者,根据穿孔部位不同分为A组(33例,胃穿孔)和B组(32例,十二指肠穿孔)。A组实施腹腔镜胃穿孔修补术, B组实施腹腔镜十二指肠穿孔修补术。观察两组手术时间、术后排气时间、术后下床活动时间、住院时间。结果 A组患者的手术时间为(64.3±11.8)min、术后排气时间为(42.8±5.1)h、术后下床活动时间为(28.9±3.1)h、住院时间为(10.1±1.6)d。B组患者的手术时间为(66.0±13.1)min、术后排气时间为(44.9±6.3)h、术后下床活动时间为(30.2±3.5)h、住院时间为(10.7±1.9)d。结论腹腔镜胃、十二指肠穿孔修补术具有创伤小、术后恢复快等优点,有助于促进患者康复,值得在上消化道穿孔治疗中应用。
Objective To investigate the application effect of laparoscopic repair of gastric and duodenal perforation for the treatment of upper gastrointestinal perforation. Methods A total of 65 patients with upper gastrointestinal perforation were divided by different locations of perforation into group A(33 cases, gastric perforation) and group B(32 cases, duodenal perforation). Group A was treated with laparoscopic repair of gastric perforation, and group B was treated with laparoscopic repair of duodenal perforation. Comparison were made on operation time, postoperative exhaust time, postoperative off-bed activity time and hospitalization time between the two groups. Results In group A, operation time was(64.3±11.8) min, postoperative exhaust time was(42.8±5.1) h, postoperative off-bed activity time was(28.9±3.1) h and hospitalization time was(10.1±1.6) d. In group B, operation time was(66.0±13.1) min, postoperative exhaust time was(44.9±6.3) h, postoperative off-bed activity time was(30.2±3.5) h and hospitalization time was(10.7±1.9) d. Conclusion Laparoscopic repair of gastric and duodenal perforation has the advantages of minimal trauma and quick recovery after operation. It is helpful to promote the recovery of patients and is worthy of application in the treatment of upper gastrointestinal perforation.
Objective To investigate the application effect of laparoscopic repair of gastric and duodenal perforation for the treatment of upper gastrointestinal perforation. Methods A total of 65 patients with upper gastrointestinal perforation were divided by different locations of perforation into group A(33 cases, gastric perforation) and group B(32 cases, duodenal perforation). Group A was treated with laparoscopic repair of gastric perforation, and group B was treated with laparoscopic repair of duodenal perforation. Comparison were made on operation time, postoperative exhaust time, postoperative off-bed activity time and hospitalization time between the two groups. Results In group A, operation time was(64.3±11.8) min, postoperative exhaust time was(42.8±5.1) h, postoperative off-bed activity time was(28.9±3.1) h and hospitalization time was(10.1±1.6) d. In group B, operation time was(66.0±13.1) min, postoperative exhaust time was(44.9±6.3) h, postoperative off-bed activity time was(30.2±3.5) h and hospitalization time was(10.7±1.9) d. Conclusion Laparoscopic repair of gastric and duodenal perforation has the advantages of minimal trauma and quick recovery after operation. It is helpful to promote the recovery of patients and is worthy of application in the treatment of upper gastrointestinal perforation.
引文
[1]白军伟,郑伟,田鹏等.腹腔镜联合胃镜治疗上消化道穿孔.中国实用医刊, 2014, 41(21):108-109.
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[3]权峰涛,杨维桢,彭晓强,等.腹腔镜胃十二指肠溃疡穿孔修补术30例临床疗效观察.临床和实验医学杂志, 2012, 11(8):26-27.
[4]伍贵祥,邓建民.腹腔镜下急性胃十二指肠穿孔修补术对胃肠道功能的影响.中国现代普通外科进展, 201, 20(2):134-136.
[5]季成明.腹腔镜胃十二指肠溃疡穿孔修补术38例临床分析.中华临床医师杂志(电子版), 2014, 8(23):123-125.
[6]迟新丰.腹腔镜治疗上消化道溃疡急性穿孔手术观察.中国医疗器械信息, 2016(10):56-58.
[7]汪琳琳.基层医院腹腔镜下胃十二指肠溃疡穿孔修补术的临床体会.苏州大学, 2014.
[2]黄和艮,杨卫富.腹腔镜与开腹行胃十二指肠溃疡穿孔修补术对术后黏连性肠梗阻的影响观察.国际消化病杂志, 2014,34(6):416-419.
[3]权峰涛,杨维桢,彭晓强,等.腹腔镜胃十二指肠溃疡穿孔修补术30例临床疗效观察.临床和实验医学杂志, 2012, 11(8):26-27.
[4]伍贵祥,邓建民.腹腔镜下急性胃十二指肠穿孔修补术对胃肠道功能的影响.中国现代普通外科进展, 201, 20(2):134-136.
[5]季成明.腹腔镜胃十二指肠溃疡穿孔修补术38例临床分析.中华临床医师杂志(电子版), 2014, 8(23):123-125.
[6]迟新丰.腹腔镜治疗上消化道溃疡急性穿孔手术观察.中国医疗器械信息, 2016(10):56-58.
[7]汪琳琳.基层医院腹腔镜下胃十二指肠溃疡穿孔修补术的临床体会.苏州大学, 2014.