摘要
目的:探讨腹腔镜与开腹修补术治疗上消化道穿孔的疗效,分析两种术式的临床价值。方法:选取60例急诊手术治疗的上消化道溃疡穿孔的患者进行回顾性分析,按术式的不同分为腹腔镜组(laparoscopy组,n=31)和开腹修补术组(laparotomy组,n=29)。结果:两组手术成功率均为100%(P>0.05)。laparoscopy组术后排气时间、进食时间、下床活动时间、住院时间均短于laparotomy组,术中出血量、术后1~3 d引流量、住院费用均少于laparotomy组,术后VAS评分、术后并发症总发生率低于laparotomy组(P<0.05)。结论:腹腔镜治疗上消化道穿孔具有术中出血及引流量少、疼痛轻、术后并发症发生率低、术后恢复快等优点。
Objective:To evaluate the efficacy of laparoscopy and laparotomy repair in the treatment of upper gastrointestinal perforation and analyze their clinical value.Methods:The data from 60 cases of patients with upper gastrointestinal perforation were retrospectively analyzed.They were divided into a laparoscopy group(n=31)and a laparotomy group(n=29).Results:Surgery were all performed in the two groups with surgery successful rate 100%(P>0.05).The times for postoperative exhaust,eating food,getting out of bed,and hospital stay were shorter,the volume of intraoperative blood loss and postoperative drainage at 1-3 days and the hospitalization costs were all less,and the postoperative VAS scores and the total incidence of postoperative complications were lower in the laparoscopy group than the laparotomy group(P<0.05).Conclusion:Laparoscopy for the treatment of upper gastrointestinal perforation has the advantages of less bleeding and drainage and less pain,low the incidence of postoperative complications and rapid postoperative recovery.
作者
江滨
JIANG Bin(Department 2 of Surgery,the People’s Hospital of Yugan County,Shangrao 335100,China)
出处
《上海医药》
CAS
2021年第21期55-58,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
腹腔镜
开腹修补术
上消化道穿孔
laparoscopy
laparotomy
upper gastrointestinal perforation
