Objective To investigate the clinical effect of laparoscopic and open surgery for acute perforation of gastro-duodenal ulcer.Methods Clinical data of 55 patients with acute gastroduodenal ulcer perforation who received surgi-cal treatment in Donghai County People's Hospital from January 2021 to September 2023 were retrospectively se-lected,and grouped according to different surgical methods.27 patients in the treatment group received laparoscopic surgery,and 28 patients in the control group received open surgery.The intraoperative and postoperative evaluation in-dexes and complications were compared between the two groups.Results There was no significant difference in opera-tion duration between the two groups(P>0.05).Incision length(2.66±0.28)cm in the treatment group was shorter than that of the control group,and intraoperative blood loss(26.66±7.14)mL was less than that in the control group,and the differences were statistically significant(t=19.212,11.601,both P<0.05).Postoperative pain score,first anal ex-haust time,out of bed activity time,postoperative hospitalization days were better in the treatment group than in the control group,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Laparoscopic-assisted treatment of acute perforation of gastroduodenal ulcer has a positive effect.Compared with open surgery,the former has less damage to patients,faster recovery and higher safety.
NETL
NSTL
维普
万方数据
