胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复的对比研究

摘要

目的：探讨研究胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复情况的异同之处。方法：对比研究本院2010-2012年收治的100例胃穿孔患者的恢复情况，其中实施腹腔镜修补术的为55例，实施开腹修补术的为45例，研究对比指标有肛门排气时间、血清胃泌素、肠鸣音出现时间、手术后的住院时间等。结果：腹腔镜组在血清胃泌素水平、肠鸣音出现时间、肛门排气时间、住院时间方面与开腹组比较，差异有统计学意义（P<0.05），实施腹腔镜修补术的患者术后恢复效果明显好于开腹修补术患者。结论：胃穿孔患者在实施腹腔镜修补术后的胃肠动力恢复时间比实施开腹修补术的患者要短，术后的恢复效果良好，因此在临床上推广胃穿孔腹腔镜修补术是可行的，对于患者的康复具有指导意义。%Objective:To explore the differences and similarities between the recovery of gastrointestinal motility of laparoscopic repair and open repair of gastric perforation after surgery. Method:100 cases with gastric 2010-2012 were compared in our hospital perforation in the recovery, including the implementation of laparoscopic repair in 55 cases,the implementation of open repair in 45 cases,comparison of indexes of serum gastrin, anal exhaust time,hospitalization time intestines bowel sound appeared,following the surgery. Result:The results showed that the gastric perforation laparoscopic repair of a group of patients in the level of serum gastrin,bowel sounds appear time,anal exhaust time,hospitalization duration and open neoplasty group significantly statistical difference(P<0.05). Laparoscopic repair of the postoperative recovery of patients was significantly better than the open herniorrhaphy patients. Conclusion:Patients with gastric perforation and recovery time are shorter than those of patients with open neoplasty in gastrointestinal motility of laparoscopic repair after operation,postoperative recovery is good,so the promotion of gastric perforation in clinical laparoscopic repair is feasible,has guiding significance for the rehabilitation of patients.