摘要
目的 探讨腹腔镜下微创手术治疗胃穿孔的临床疗效及对胃肠动力恢复的影响。方法 选取2018年12月至2020年12月本院收治的90例胃穿孔患者作为研究对象,随机分为两组,每组45例。对照组给予传统开放性修补手术,观察组给予腹腔镜下微创手术,比较两组围术期相关指标、术后胃肠动力指标、不同术后时期的血清胃泌素(GAS)水平、手术并发症发生率。结果 观察组住院时间、引流管留置时间及下床活动时间均短于对照组,住院费用、术中出血量均少于对照组,手术时间长于对照组,差异有统计学意义(P<0.05)。观察组GAS水平、胃动素(MTL)水平、胃电幅及胃电主功率均明显高于对照组(P<0.05)。术后1、2、3 d,观察组血清GAS水平均高于对照组(P<0.05)。观察组手术并发症发生率低于对照组(P<0.05)。结论 对胃穿孔患者采用腹腔镜微创手术可以有效明显改善患者的胃肠动力和病情,有利于患者康复且安全性高,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic minimally invasive surgery in the treatment of gastric perforation and its influence on the recovery of gastrointestinal motility.Methods 90 patients with gastric perforation admitted to our hospital from December 2018 to December 2020 were selected as study subjects and they were randomly divided into two groups,with 45 cases in each group.The control group was given traditional open repair surgery,and the observation group was given laparoscopic minimally invasive surgery.The perioperative related indicators,the postoperative gastrointestinal motility indicators,the serum gastrin(GAS) levels in different periods after surgery and the surgical complications were compared between the two groups.Results The duration of hospitalization,indwelling time of drainage tube and ambulation time in the observation group were shorter than those in the control group,and the hospitalization cost and the intraoperative blood was less those that in the control group,the operation time in the observation group was longer than that in the control group,the difference was statistically significance(P<0.05).The GAS level,motilin(MTL) level,gastric electric amplitude and main power of gastric electric in the observation group were significantly higher than those in the control group(P<0.05).The serum gastrin level in observation group was higher than that in control group at 1,2 and 3 d after operation(P<0.05).The incidence of surgical complications in observation group was lower than that in control group(P<0.05).Conclusion Laparoscopic minimally invasive surgery for patients with gastric perforation can effectively improve the gastrointestinal motility and condition of patients,promote the recovery of patients,and has high safety,which is worthy of promotion in clinical practice.
作者
王勇
郑祖文
刘伟
WANG Yong;ZHENG Zuwen;LIU Wei(Department of General Surgery,Affiliated Hospital of Sichuan Nursing Vocational College/the Third People's Hospital of Sichuan Province,Chengdu,Sichuan,610100,China)
出处
《当代医学》
2022年第18期47-50,共4页
Contemporary Medicine
关键词
胃穿孔
腹腔镜
微创手术治疗
胃肠动力恢复
Gastric perforation
Laparoscopy
Minimally invasive surgery
Gastrointestinal motility recovery
