腹腔镜修补术与开腹修补术治疗胃穿孔术后胃肠动力恢复情况对比研究
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摘要
目的研究腹腔镜修补术和开腹修补术在胃穿孔术后胃肠动力恢复中的应用价值。方法方便选取2016年4月—2018年7月该院接诊的胃穿孔病患70例为研究对象,将之按照奇偶数字分组法分成实验和对照两组(n=35)。实验组采用腹腔镜修补术,对照组采用开腹修补术。分析两组术后胃肠动力的恢复情况,比较住院时间和术后VAS评分等指标。结果实验组的手术用时为(54.17±8.36)min、术后肠鸣音恢复时间为(3.15±0.42)h、肛门排气时间为(16.68±3.14)h、住院时间为(5.08±1.04)d,比对照组的(111.15±16.32)min、(8.61±1.37)h、(42.97±5.26)h、(12.51±2.57)d短,组间差异有统计学意义(t=18.383 9,22.542 4,25.389 3,15.854 7,P<0.05)。实验组的术后VAS评分为(2.26±1.03)分,比对照组的(3.34±1.54)分低,组间差异有统计学意义(P<0.05)。实验组对治疗效果的满意度为100.00%,比对照组的85.71%高,组间差异有统计学意义(χ~2=5.384 6,P<0.05)。结论选择腹腔镜修补术对胃穿孔病患进行施治,可取得比传统开腹修补术更显著的成效,不仅有助于促进患者术后胃肠动力的恢复,同时还能有效减轻其术后疼痛程度,缩短手术用时,提高患者对治疗效果的满意程度,建议采纳。
Objective To study the value of laparoscopic repair and open surgery in the recovery of gastrointestinal motility after gastric perforation. Methods Seventy patients with gastric perforation who were admitted to our hospital from April2016 to July 2018 were convenient and enrolled in the study. They were divided into experimental and control groups according to the parity grouping method(n=35). The experimental group was treated with laparoscopic repair and the control group was treated with open surgery. The recovery of postoperative gastrointestinal motility was analyzed in the two groups,and the hospitalization time and postoperative VAS score were compared. Results The operation time of the experimental group was(54.17±8.36) min, the recovery time of postoperative bowel sound was(3.15±0.42)h, the anus exhaust time was(16.68±3.14)h, and the hospitalization time was(5.08±1.04)d, compared with the control group(111.15±16.32)min,(8.61±1.37)h,(42.97±5.26) h,(12.51±2.57) d, the difference between groups was statistically significant(t=18.383 9, 22.542 4,25.389 3, 15.854 7, P<0.05). The postoperative VAS score of the experimental group was(2.26±1.03)points, which was lower than that of the control group(3.34±1.54)points, and the difference between the groups was significant(P<0.05). The satisfaction rate of the experimental group was 100.00%, which was higher than 85.71% of the control group, and the difference between the groups was statistically significant(χ~2=5.384 6, P<0.05). Conclusion The choice of laparoscopic repair for patients with gastric perforation can achieve more significant results than traditional open surgery, which not only helps to promote the recovery of postoperative gastrointestinal motility, but also effectively reduce the degree of pain after operation, shorten the time of surgery, improve the patient's satisfaction with the treatment effect, it is recommended to adopt.
Objective To study the value of laparoscopic repair and open surgery in the recovery of gastrointestinal motility after gastric perforation. Methods Seventy patients with gastric perforation who were admitted to our hospital from April2016 to July 2018 were convenient and enrolled in the study. They were divided into experimental and control groups according to the parity grouping method(n=35). The experimental group was treated with laparoscopic repair and the control group was treated with open surgery. The recovery of postoperative gastrointestinal motility was analyzed in the two groups,and the hospitalization time and postoperative VAS score were compared. Results The operation time of the experimental group was(54.17±8.36) min, the recovery time of postoperative bowel sound was(3.15±0.42)h, the anus exhaust time was(16.68±3.14)h, and the hospitalization time was(5.08±1.04)d, compared with the control group(111.15±16.32)min,(8.61±1.37)h,(42.97±5.26) h,(12.51±2.57) d, the difference between groups was statistically significant(t=18.383 9, 22.542 4,25.389 3, 15.854 7, P<0.05). The postoperative VAS score of the experimental group was(2.26±1.03)points, which was lower than that of the control group(3.34±1.54)points, and the difference between the groups was significant(P<0.05). The satisfaction rate of the experimental group was 100.00%, which was higher than 85.71% of the control group, and the difference between the groups was statistically significant(χ~2=5.384 6, P<0.05). Conclusion The choice of laparoscopic repair for patients with gastric perforation can achieve more significant results than traditional open surgery, which not only helps to promote the recovery of postoperative gastrointestinal motility, but also effectively reduce the degree of pain after operation, shorten the time of surgery, improve the patient's satisfaction with the treatment effect, it is recommended to adopt.
引文
[1]黄树民.腹腔镜修补术与开腹修补术治疗胃穿孔术后胃肠动力恢复情况对比研究[J].临床和实验医学杂志,2016,15(24):2467-2469.
[2]Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer[J]肿瘤学与转化医学:英文,2018,4(3):124-127.
[3]李金博.腹腔镜修补术与开腹修补术治疗胃穿孔术后胃肠动力恢复情况对比研究[J].中国继续医学教育,2017,9(18)130-131.
[4]阴秦,李长江,李波,等.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比较[J].深圳中西医结合杂志,201424(9):6-7.
[5]吴丰.胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复的分析[J].中国社区医师,2017,33(4):74,76.
[6]Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer[J].肿瘤学与转化医学:英文,2018,4(2):72-75.
[7]张定成.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分析[J].中国社区医师,2016,32(12):50-51.
[8]孙仕林.对比胃穿孔患者经腹腔镜修补术、开腹修补术术后机体胃肠动力恢复效果[J].临床医药文献电子杂志2018,5(69):25.
[9]王彬.腹腔镜修补术与开腹修补术治疗胃穿孔患者对术后胃肠动力恢复效果的影响[J].医疗装备,2018,31(12):128-129.
[10]Predictive value of focused assessment with sonography for trauma(FAST)for laparotomy in unstable polytrauma E-gyptians patients[J].中华创伤杂志:英文版,2017,20(6):323-328.
[11]王争鸣.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[J].中国实用医刊,2014,41(4):63-64.
[12]张明山.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分析[J].中国社区医师,2016,32(8):28,30.
[2]Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer[J]肿瘤学与转化医学:英文,2018,4(3):124-127.
[3]李金博.腹腔镜修补术与开腹修补术治疗胃穿孔术后胃肠动力恢复情况对比研究[J].中国继续医学教育,2017,9(18)130-131.
[4]阴秦,李长江,李波,等.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比较[J].深圳中西医结合杂志,201424(9):6-7.
[5]吴丰.胃穿孔腹腔镜修补术与开腹修补术术后胃肠动力恢复的分析[J].中国社区医师,2017,33(4):74,76.
[6]Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer[J].肿瘤学与转化医学:英文,2018,4(2):72-75.
[7]张定成.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分析[J].中国社区医师,2016,32(12):50-51.
[8]孙仕林.对比胃穿孔患者经腹腔镜修补术、开腹修补术术后机体胃肠动力恢复效果[J].临床医药文献电子杂志2018,5(69):25.
[9]王彬.腹腔镜修补术与开腹修补术治疗胃穿孔患者对术后胃肠动力恢复效果的影响[J].医疗装备,2018,31(12):128-129.
[10]Predictive value of focused assessment with sonography for trauma(FAST)for laparotomy in unstable polytrauma E-gyptians patients[J].中华创伤杂志:英文版,2017,20(6):323-328.
[11]王争鸣.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[J].中国实用医刊,2014,41(4):63-64.
[12]张明山.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分析[J].中国社区医师,2016,32(8):28,30.