腹腔镜与开腹手术治疗急性胃穿孔的疗效对比

摘要

Objective To study the laparoscopic and open surgery for the treatment of acute gastric perforation. Methods Our hospital from March 2012 to March 2014 were 92 cases of patients with acute gastric perforation, randomly divided into control group and observation group, 46 cases/group, control group adopts open operation, observation group used laparoscopic repair of perforation, compared two groups of patients with operation time, blood loss, length of hospital stay, anal exhaust time and postoperative complications such as index. Results After treatment group, the observation group than the control group in the operation time, blood loss, length of hospital stay, anal exhaust time on indicators have improved signiifcantly. Complications, statistics, observation group of complications in 1 case, rate of 2.17%, the control of complications in 5 cases, the incidence of 10.87%, operation index and complications of observation group was obviously better than the control group (P<0.05), with statistical significance. Conclusion The laparoscopic repair of perforation can effectively improve operation indicators, reduce complications.%目的：研究腹腔镜和开腹手术治疗急性胃穿孔的效果。方法选取本院自2012年3月~2014年3月间收治的92例急性胃穿孔患者，随机分为对照组和观察组，46例/组，对照组采用开腹手术，观察组使用腹腔镜穿孔修补术，对比两组患者的手术时间、出血量、肛门排气时间、住院时间以及术后并发症等指标。结果经过分组治疗，观察组比对照组在手术时间、出血量、肛门排气时间、住院时间等指标上都有显著提高。并发症统计，观察组出现并发症1例，发生率为2.17%，对照组出现并发症5例，发生率10.87%，观察组的手术指标以及并发症发生率明显优于对照组（P＜0.05），具有统计学意义。结论采用腹腔镜穿孔修补术可以有效提升手术指标，减少并发症的发生。