摘要
目的探讨对胃十二指肠溃疡急性穿孔患者采用腹腔镜修补术进行治疗后获得的临床效果。方法将该院2016年7月—2019年5月收治的108例胃十二指肠溃疡急性穿孔患者数字奇偶法分组;治疗组(54例):采用腹腔镜修补术展开溃疡急性穿孔治疗;对照组(54例):采用传统手术展开溃疡急性穿孔治疗;就组间急性穿孔手术指标、患者住院指标以及手术并发症数据展开对比。结果对照组切口长度为(15.85±3.35)cm;手术时长为(84.02±7.42)min;下床活动时长为(24.49±4.25)h;排气时长为(49.25±15.25)h;治疗组切口长度为(3.15±0.49)cm;手术时长为(60.85±5.02)min;下床活动时长为(11.85±2.49)h;排气时长为(41.79±19.13)h;最终发现治疗组胃十二指肠溃疡急性穿孔患者切口长度短于对照组明显,手术时长、下床活动时长以及排气时长均短于对照组明显(t=27.565,19.006,18.857,2.241,P<0.05);治疗组表现出腹腔脓肿患者1例(1.85%),粘连性肠梗阻患者1例(1.85%),切口感染患者0例(0.00%);总计2例(3.70%);对照组表现出腹腔脓肿患者3例(5.56%),粘连性肠梗阻患者3例(5.56%),切口感染患者5例(9.30%);总计11例(20.37%);治疗组胃十二指肠溃疡急性穿孔患者手术并发症数据(3.70%)低于对照组(20.37%)明显(χ~2=7.083,P<0.05)。结论腹腔镜修补术的有效实施,可使得胃十二指肠溃疡急性穿孔患者手术指标与住院指标获得确切改善,并且同时表现出较高手术安全性,可实现胃十二指肠溃疡急性穿孔患者预后提升。
Objective To explore the clinical effect of laparoscopic repair on patients with acute perforation of gastroduodenal ulcer.Methods 108 patients with acute perforation of gastroduodenal ulcer who were admitted to the hospital from July 2016 to May 2019 were divided into digital parity method;treatment group(54 cases):laparoscopic repair was used to develop acute perforation of ulcer;control group(54 cases):acute perforation treatment of ulcer was carried out by traditional surgery;the indexes of acute perforation operation,patient hospitalization index and surgical complication data were compared between groups.Results The incision length of the control group was(15.85±3.35)cm;the duration of the operation was(84.02±7.42)min;the duration of getting out of bed was(24.49±4.25)h;the length of the exhausting time was(49.25±15.25)h;the incision length of the treatment group was(3.15±0.49)cm;the duration of operation was(60.85±5.02)min;the duration of getting out of bed was(11.85±2.49)h;the duration of exhaust was(41.79±19.13)h;the gastroduodenum of the treatment group was finally found that the incision length of patients with acute ulcer perforation was shorter than that of the control group,and the operation time,the length of time to get out of bed and the duration of exhaustion were shorter than that of the control group(t=27.565,19.006,18.857,2.241,P<0.05);1 patient(1.85%)with abscess,1 patient(1.85%)with adhesive intestinal obstruction,0 patient(0.00%)showed iufection of incision;2 patients(3.70%)in total;control group showed abdominal abscess 3 patients(5.56%),3 patients(5.56%)showed adhesive intestinal obstruction,5 patients(9.30%)showed infection of incision a total of 11 patients(20.37%);gastroduodenal surgical complications data(3.70%)of patients with acute ulcer perforation were lower than the control(20.37%)was significantly(χ~2=7.083,P<0.05).Conclusion The effective implementation of laparoscopic repair can improve the surgical index and hospitalization index of patients with acute perforation of gastroduodenal ulcer,and at the same time show higher surgical safety,and can achieve patients with acute perforation of gastroduodenal ulcer prognosis improved.
作者
李万国
LI Wan-guo(Department of General Surgery,Hekou District Hospital of Traditional Chinese Medicine,Dongying,Shandong Province,257234 China)
出处
《系统医学》
2020年第13期67-69,共3页
Systems Medicine
关键词
胃十二指肠溃疡急性穿孔
腹腔镜修补术
并发症
Acute perforation of gastroduodenal ulcer
Laparoscopic repair
Complications
作者简介
李万国(1984-),男,山东东营人,本科,主治医师,研究方向:普外。
