摘要
目的分析腹腔镜在老年胃十二指肠穿孔治疗中的临床价值。方法选取2020年9月—2023年2月新沂市人民医院收治的70例老年胃十二指肠穿孔患者为研究对象,以随机数表法均分为两组,采取常规开腹治疗的35例纳入对照组,采取腹腔镜手术治疗的35例纳入观察组。比较两组疗效、围术期指标、并发症及术后疼痛程度。结果两组总有效率分别为97.14%、94.29%,差异无统计学意义(χ^(2)=0.000,P>0.05)。观察组术中出血量少于对照组;观察组手术时间、首次下床时间、肛门排气时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率(8.57%),低于对照组(28.57%),差异有统计学意义(χ^(2)=4.629,P<0.05)。观察组术后2、6、12、24 h疼痛程度评分均低于对照组,差异有统计学意义(P<0.05)。结论在老年胃十二指肠穿孔治疗中应用开腹手术与腹腔镜手术均可发挥较为理想的作用,但腹腔镜手术术中出血量更少,术后胃肠功能恢复快、住院时间更短,并发症更少,术后疼痛程度更轻。
Objective To analyze the clinical value of laparoscopy in the treatment of senile gastroduodenal perforation.Methods Seventy elderly patients with gastroduodenal perforation admitted to Xinyi People´s Hospital from September 2020 to February 2023 were selected as the study objects,and were divided into two groups by random number table method.Thirty-five patients received conventional open surgery were included in the control group,and thirty-five patients received laparoscopic surgery were included in the observation group.The efficacy,perioperative indexes,complications and postoperative pain were compared between the two groups.Results The total effective rate of the two groups was 97.14%and 94.29%,respectively,and the difference was not statistically significant(χ^(2)=0.000,P>0.05).The amount of blood loss in the observation group was less than that in the control group,the operation time,the first time to get out of bed,the anal exhaust time and the hospital stay time in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The complication rate of observation group(8.57%)was lower than that of control group(28.57%),and the difference was statistically significant(χ^(2)=4.629,P<0.05).The pain degree scores of the observation group were lower than those of the control group at 2,6,12 and 24 hours after operation,and the difference was statistically significant(P<0.05).Conclusion Both open surgery and laparoscopic surgery can play an ideal role in the treatment of elderly gastroduodenal perforation,but laparoscopic surgery has less blood loss,faster postoperative gastrointestinal function recovery,shorter hospital stay,fewer complications,and less postoperative pain.
作者
祁旺
张同领
徐焕成
QI Wang;ZHANG Tongling;XU Huancheng(Department of Gastrointestinal Surgery,Xinyi People´s Hospital,Xinyi,Jiangsu Province,221400 China)
出处
《系统医学》
2023年第8期94-96,101,共4页
Systems Medicine
基金
徐州市重点研发计划(社会发展)项目(KC22274)。
关键词
腹腔镜
胃十二指肠穿孔
并发症
胃肠功能
Laparoscopy
Gastroduodenal perforation
Complications
Gastrointestinal function
