世界复合医学2024,Vol.10Issue(3) :168-171.DOI:10.11966/j.issn.2095-994X.2024.10.03.43

腹腔镜手术在消化道穿孔中的运用分析

Application of Laparoscopic Surgery in Gastrointestinal Perforation

陆宇 曹亿峰
世界复合医学2024,Vol.10Issue(3) :168-171.DOI:10.11966/j.issn.2095-994X.2024.10.03.43

腹腔镜手术在消化道穿孔中的运用分析

Application of Laparoscopic Surgery in Gastrointestinal Perforation

陆宇 1曹亿峰1
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作者信息

  • 1. 常熟市支塘人民医院普外科,江苏常熟 215531
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摘要

目的 探讨消化道穿孔治疗中腹腔镜手术应用效果.方法 随机选取2020年9月—2023年3月常熟市支塘人民医院收治的70例消化道穿孔患者作为研究对象,以随机数表法将其分为对照组(n=35,传统开腹手术)和观察组(n=35,腹腔镜手术).对比两组手术相关指标、术后疼痛情况、临床疗效、术后感染发生率.结果 观察组术中出血量为(24.50±5.51)mL、切口长度(2.40±0.78)cm、术后排气时间为(23.11±1.43)h、住院时间为(3.70±0.35)d,均低于对照组[术中出血量(27.66±6.62)mL、切口长度(10.90±1.15)cm、术后排气时间(62.25±3.62)h、住院时间(7.90±2.41)d],差异有统计学意义(t=2.170、36.189、59.492、10.203,P均<0.05).观察组术后疼痛情况、临床疗效、术后感染发生率等指标优于对照组,差异有统计学意义(P均<0.05).结论 采用腹腔镜手术治疗消化道穿孔,可实现缩短手术时间、减少术中出血量的目标,有助于缓解术后疼痛.

Abstract

Objective To discuss the effect of laparoscopic surgery in the treatment of gastrointestinal per-foration.Methods A total of seventy patients with gastrointestinal perforation admitted to Zhitang People's Hos-pital of Changshu City from September 2020 to March 2023 were selected randomly as the study objects.They were divided into:control group(n=35,traditional open surgery)and observation group(n=35,laparoscopic sur-gery)by random number table method.The relative indexes,postoperative pain,clinical efficacy and incidence of postoperative infection were compared between two groups.Results The intraoperative blood loss(24.50±5.51)mL,incision length(2.40±0.78)cm,postoperative exhaust time(23.11±1.43)h and hospital stay(3.70±0.35)d in the observation group were lower than those in the control group intraoperative blood loss(27.66±6.62)mL,incision length(10.90±1.15)cm,postoperative exhaust time(62.25±3.62)h and hospital stay(7.90±2.41)d,the differences were statistically significant(t=2.170,36.189,59.492,10.203,all P<0.05).The indexes of postoperative pain,clinical efficacy and incidence of postoperative infection in the observation group were better than those in the control group,the differences were statistically significant(all P<0.05).Conclusion The use of laparoscopic surgery for the treatment of gastrointestinal perforation can achieve the goal of shortening the operation time,reducing the amount of intraoperative blood loss,helping to alleviate postoperative pain.

关键词

腹腔镜手术/消化道穿孔/术中出血量/临床疗效

Key words

Laparoscopic surgery/Gastrointestinal perforation/Intraoperative blood loss/Clinical effect

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出版年

2024
世界复合医学

世界复合医学

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