摘要
目的对胃穿孔患者开展腹腔镜下胃穿孔修补术与传统术式的价值及作用进行探析。方法纳入2019年1月—2021年7月邹城市人民医院收治的80例符合胃穿孔判定标准的患者为研究对象,根据随机数表法随机分为两组,每组40例。对照组进行开腹手术,观察组进行腹腔镜下胃穿孔修补术。术后,对比两组手术指标、术后恢复时间、肺功能指标、并发症、生活质量。结果术后,观察组切口长度短于对照组,术中出血量少于对照组,手术时间短于对照组,差异有统计学意义(P<0.05)。观察组下床时间、肠鸣音恢复时间、排气时间、住院时间依次为(11.45±7.12)h、(12.02±2.71)h、(20.21±1.71)h、(6.82±1.22)d,均短于对照组的(80.88±7.44)h、(20.50±2.70)h、(35.72±1.75)h、(14.40±1.21)d,差异有统计学意义(t=42.641、14.020、40.091、27.900,P<0.05)。术前两组患者用力肺活量(FVC)、第1秒用力呼气量(FEV1)、肺活量(VC)差异无统计学意义(P>0.05);术后第3天观察组FVC、FEV1、VC依次为(3.16±0.21)、(2.17±0.45)、(3.21±0.71)L,均高于对照组的(1.94±0.25)、(1.44±0.47)、(2.24±0.66)L,差异有统计学意义(t=23.633、7.095、6.329,P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。术后,观察组生理功能、心理功能、社会功能、情感功能各项生活质量分值均高于对照组,差异有统计学意义(P<0.05)。结论对胃穿孔患者开展腹腔镜下胃穿孔修补术,创伤性小,预后恢复快,且对患者术后肺功能恢复有积极影响。
Objective To explore the value and role of laparoscopic gastric perforation repair and traditional surgery in patients with gastric perforation.Methods From January 2019 to July 2021,80 patients who meet the criteria for gastric perforation in the Zoucheng People's Hospital were selected.According to the random number table method,they were divided into two groups,with 40 cases in each group.The control group underwent open surgery,and the ob⁃servation group underwent laparoscopic repair of gastric perforation.After operation,the surgical indicators,postopera⁃tive recovery time,pulmonary function indicators,complications,and quality of life were compared between the two groups.Results After operation,the incision length of the observation group was shorter than that of the control group,the intraoperative blood loss was less than that of the control group,and the operation time was shorter than that of the control group,the difference was statistically significant(P<0.05).The time to get out of bed,bowel sound recovery time,exhaust time and hospital stay in the observation group were(11.45±7.12)h,(12.02±2.71)h,(20.21±1.71)h,(6.82±1.22)d,all of which were shorter than the control group(80.88±7.44)h,(20.50±2.70)h,(35.72±1.75)h,(14.40±1.21)d,the difference was statistically significant(t=42.641,14.020,40.091,27.900,P<0.05).There was no statisti cally significant difference in forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1),vital capacity(VC)between the two groups before surgery(P>0.05).On the 3rd day after operation,the FVC,FEV1,and VC of the observation group were(3.16±0.21)L,(2.17±0.45)L,(3.21±0.71)L,which were higher than those of the control group(1.94±0.25)L,(1.44±0.47)L,(2.24±0.66)L,the difference was statistically significant(t=23.633,7.095,6.329,P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The scores of quality of life,such as physiological function,psychological func⁃tion,social function,and emotional function,in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Laparoscopic gastric perforation repair is performed on patients with gastric perforation,which is less invasive,has a quicker prognosis,and has a positive impact on postop⁃erative pulmonary function recovery.
作者
赵建
ZHAO Jian(Department of Hepatobiliary and Gastrointestinal Surgery,Zoucheng People's Hospital,Zoucheng,Shandong Prov-ince,273500 China)
出处
《系统医学》
2022年第15期134-138,共5页
Systems Medicine
关键词
腹腔镜
胃穿孔修补术
传统术式
术后恢复
肺功能
Laparoscopy
Gastric perforation repair
Traditional operation
Postoperative recovery
Pulmonary function
