腹腔镜修补术治疗胃及十二指肠穿孔临床效果分析.docVIP

腹腔镜修补术治疗胃及十二指肠穿孔临床效果分析 　　【摘要】 目的：探讨腹腔镜修补术治疗胃及十二指肠穿孔的临床效果。方法：收集2012年4月-2015年3月本院收治的128例胃及十二指肠穿孔患者的临床资料。按照临床治疗方法将患者分为试验组和对照组，每组各64例。对照组采取传统开腹手术治疗，试验组采取腹腔镜修补术治疗。观察并比较两组患者的手术时间、术中出血量、术后首次肛门排气时间、术后住院时间、术后并发症发生情况、术后复发情况、术后体温异常情况。结果：试验组的手术时间长于对照组，两组比较差异有统计学意义（P0.05）；试验组的术中出血量、术后首次肛门排气时间、术后住院时间均低于对照组，两组比较差异均有统计学意义（P0.05）。试验组的术后并发症发生率为9.38%，低于对照组的28.13%，两组比较差异有统计学意义（P0.05）。试验组的术后体温异常率、复发率低于对照组，两组比较差异均有统计学意义（P0.05）。结论：腹腔镜修补术治疗胃及十二指肠穿孔的临床效果较好，可有效缩短患者术后首次肛门排气时间、术后住院时间，减少术中出血量，降低术后并发症，但手术时间较长。 　　【关键词】 腹腔镜修补术； 胃及十二指肠穿孔； 临床效果 　　Clinical Effects of Gastric and Duodenal Perforation by Laparoscopic Herniorrhaphy/YAO Qi.//Medical Innovation of China，2015，12（26）：124-126 　　【Abstract】 Objective：To explore the clinical effects of gastric and duodenal perforation by laparoscopic herniorrhaphy.Method：128 patients with gastric and duodenal perforation in our hospital were selected from April 2012 to March 2015，they were divided into the experiment group and the control group，64 cases in each group. The control group was treated by traditional laparotomy， the experiment group was treated by laparoscopic herniorrhaphy.The operation time， intraoperatve blood soss， postoperative anal exhaust time for the first time， post operation hospitalization duration， postoperative complication， postoperative recurrence and abnormal body temperature of two groups were compared.Result：The operation time of the experiment group was longer than the control group， the difference was statistically significant（P0.05）.The intraoperatve blood soss， postoperative anal exhaust time for the first time and post operation hospitalization duration of the experiment group were lower than the control group， the differences were statistically significant（P0.05）.The postoperative complication of experiment group was 9.38%，which was lower than 28.13% of the control group， the difference was statistically significant（P0.05）.The postoperative recurrence and abnormal body temperature of experiment group were lower than the