摘要
目的:分析腹腔镜微创修补术治疗胃穿孔的优势以及对患者胃肠动力等方面的影响。方法:选择2019年8月~2020年5月本院诊治的120例胃穿孔疾病患者,根据手术方法进行分组(对照组、微创组)。对照组60例患者采取开腹修补手术,微创组60例患者采取腹腔镜微创修补术。比较2组胃穿孔疾病患者的手术情况,包括手术时间、恢复时间等手术指标、并发症以及术后血浆胃动素(motilin,MTL)、血管活性肠肽(vasoactive intestinal peptide,VIP)胃肠动力情况、炎性指标水平。结果:组间手术、术后肛门排气、肠鸣音恢复、下床活动以及住院时间比较,微创组患者的平均手术时间以及术后恢复时间均明显短于对照组,P<0.05;术后3d组间MTL、VIP胃肠动力水平比较,微创组患者的平均MTL、VIP水平均明显高于对照组,P<0.05;组间术后切口感染、肠梗阻、腹腔脓肿并发症情况比较,微创组发生率(3.33%)明显低于对照组的20.00%,P<0.05;血清C反应蛋白(C-reactiveprotein,CRP)水平、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)炎性指标水平方面,微创组患者炎症指标水平均明显低于对照组,P<0.05。结论:对比开腹修补手术,腹腔镜微创修补术治疗胃穿孔具有创伤小、恢复快、促进胃肠动力恢复等优势,是优选术式。
Objective:To analyze the advantages of laparoscopic minimally invasive repair in the treatment of gastric perforation and its influence on patients’gastrointestinal motility.Method:Select 120 patients with gastric perforation disease diagnosed and treated in our hospital from August 2019 to May 2020,and group them according to the surgical method(control group,minimally invasive group).60 patients in the control group underwent open surgery,and 60 patients in the minimally invasive group underwent laparoscopic minimally invasive surgery.Comparison of the operation conditions of the two groups of patients with gastric perforation disease,including operation time,recovery time and other surgical indicators,complications,and postoperative plasma motilin(MTL),vasoactive intestinal peptide(VIP)gastrointestinal motility condition,inflammatory index level.Results:Comparison of operation,postoperative anus exhaust,bowel sound recovery,getting out of bed,and hospitalization time between groups,the average operation time and postoperative recovery time of patients in the minimally invasive group were significantly shorter than those in the control group,P<0.05;Comparison of MTL and VIP gastrointestinal motility levels between the last 3 days of groups,the average MTL and VIP levels of patients in the minimally invasive group were significantly higher than those of the control group,P<0.05;postoperative wound infection,intestinal obstruction,and abdominal abscess complications were compared between the groups,the incidence of minimally invasive group(3.33%)was significantly lower than that of the control group 20.00%,P<0.05;serum C-reactive protein(CRP)levels,tumor necrosis factor-α(tumor necrosis factor-α,TNF-α)in terms of inflammatory index levels,the inflammatory index levels of patients in the minimally invasive group were significantly lower than those in the control group,P<0.05.Conclusion:Compared with open surgery,laparoscopic minimally invasive surgery for gastric perforation has the advantages of less trauma,faster recovery,and promotion of gastrointestinal motility recovery.It is the preferred surgical method.
作者
毕明龙
BI Ming-long(Department of General Surgery,Dandong Central Hospital,Liaoning Dandong 118000)
出处
《中国医疗器械信息》
2021年第22期79-81,共3页
China Medical Device Information
关键词
腹腔镜微创修补术
开腹修补手术
胃穿孔
胃肠动力
恢复时间
术后并发症
手术情况
炎性指标
laparoscopic minimally invasive repair
open surgery
gastric perforation
gastrointestinal motility
recovery time
postoperative complications
surgical conditions
inflammatory indicators
