Analysis of Therapeutic Efficacy and Effects on Gastrointestinal Function of Laparoscopic Peritoneal Perforation Repair and Conventional Repair in Patients with Upper Gastrointestinal Perforation
Objective To investigate the therapeutic effect and the effect on gastrointestinal function of laparoscopic peritoneal perforation repair(LR)and traditional open abdominal perforation repair(OR)on patients with upper gastro-intestinal perforation.Methods 96 patients with upper digestive tract perforation admitted to Yushu Prefecture Quma-lai County People's Hospital,Qinghai Province from June 2022 to June 2023 were conveniently selected as the study objects.They were divided into two groups according to random number table method.The control group received OR for treatment and the study group received LR for treaatment.The surgical indexes,complication rate and gastrointesti-nal function of the two groups were compared.Results There was no significant difference in operation duration be-tween the two groups(P>0.05).The surgical incision and intraoperative blood loss in the study group were better than those in the control group,and the differences were statistically significant(both P<0.05).The total incidence of com-plications in the study group was 10.4%,lower than that in the control group(20.8%),and the difference was statisti-cally significant(χ2=6.849,P<0.05).The recovery time of bowel sound and the first exhaust time in the study group were shorter than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion The use of LR in the treatment of upper gastrointestinal perforation can reduce the amount of intraoperative blood loss,reduce the incidence of complications,reduce the surgical incision,and improve the recovery speed of gastrointestinal function.
LaparoscopyOpen abdominalRepairUpper gastrointestinal perforationEffectGastrointestinal function