腹腔镜下穿孔修补术治疗老年胃溃疡合并胃穿孔的临床观察

Clinical Observation of the Effect of Laparoscopic Perforation Repair on Elderly Gastric Ulcer with Gastric Perforation

中文关键词: 老年  腹腔镜下穿孔修补术  胃溃疡合并胃穿孔  术中出血量  疗效  并发症

英文关键词: elderly  laparoscopic perforation repair  gastric ulcer with gastric perforation  bleeding volume in operation  curative effect  complications

中文摘要:

      目的 观察腹腔镜下穿孔修补术对老年胃溃疡合并胃穿孔患者术中出血量、疗效及并发症的影响,以寻求有效的疗法.方法 选择陕西省榆林市第一医院2015年1月-2017年1月收治的80例老年胃溃疡合并胃穿孔患者,根据不同手术方式分为观察组(n=40)和对照组(n=40).观察组采取腹腔镜下穿孔修补术,对照组采用传统开腹穿孔修补术.对2组的临床疗效、术中术后指标和术后并发症发生情况进行比较与分析.结果观察组的总有效率显著高于对照组(92.5％ vs 70.0％,P＜0.05),术中出血量显著少于对照组[(48.9±10.3)mL vs(72.5±16.2) mL,P＜0.05)],肠鸣音恢复时间、肛门排气时间和住院时间均显著短于对照组(均P＜0.05),术后并发症发生率显著低于传统开腹组(2.5％ vs 37.5％,P＜0.05).结论 腹腔镜下穿孔修补术较传统开腹穿孔L修补术更能有效减少老年胃溃疡合并胃穿孔患者的术中出血量,提升疗效,减少并发症,是一种更有效的疗法.

英文摘要:

      Objective To observe the clinical effect of laparoscopic perforation repair on the bleeding volume in op eration,the curative effect and the occurrence in the elderly with gastric ulcer complicated with gastric perforation.Methods 80 elderly patients with gastric ulcer complicated with gastric perforation hospitalized during the period from Jan.,2015 to Jan.,2017 were selected and divided into 2 groups:observation group (laparoscopic perforation repair group) and control group (conventional laparotomy group),40 in each;the clinical effects,the index in operation and after operation and the occurrence of postoperative complications of the 2 groups were comparatively studied and the results were analyzed.Results The total effective rate in observation group was much higher than that in control group (92.5％ vs 70.0％,P＜0.05) and the bleeding volume in operation in observation group was much smaller than that in control group [(48.9±10.3) mL vs (72.5 ± 16.2) mL,P＜ 0.05];the bowel sound recovery time,the anal exhausting time and the hospitalization duration in observation group were significantly shorter than those in control group (P＜0.05) and the occurrence of postoperative complications was lower (2.5 ％ vs 37.5 ％).Conclusions Compared with conventional laparotomy,laparoscopic perforation repair can more effectively decrease the bleeding in operation and the occurrence of postoperative complications,and can raise the curative effect.