Clinical observation of laparoscopic minimally invasive repair for emergency gastroduodenal ulcer perforation
Objective To analyze the clinical efficacy of laparoscopic minimally invasive repair for emergency gastroduodenal ulcer perforation.Methods 80 patients with emergency gastroduodenal ulcer perforation were divided into a control group and a study group according to random number table,with 40 cases in each group.The control group was treated with open repair,and the study group was treated with laparoscopic minimally invasive repair.The surgical related indicators,gastrointestinal hormones,complications and gastrointestinal motility were compared between the two groups.Results The study group had operation time of(61.94±8.21)min,hospitalization time of(3.23±0.57)d and ambulation time of(1.34±0.26)d,which were shorter than(84.36±12.67)min,(5.98±1.65)d and(2.37±0.39)d in the control group;the study group had incision length of(2.12±0.34)cm and blood loss of(41.14±3.63)ml,which were less than(5.14±1.13)cm and(144.82±16.43)ml in the control group;the difference was statistically significant(P<0.05).In the study group,the duration of gastrointestinal decompression,the first anal exhaust time and the recovery time of intestinal sound were(24.32±5.67),(29.52±4.36)and(12.72±2.87)h,which were shorter than(33.83±7.42),(38.51±5.75)and(18.54±3.93)h in the control group.The difference was statistically significant(P<0.05).The study group had gastrin(GAS)of(101.93±10.41)ng/L,motilin(MOT)of(252.37±25.87)ng/L,somatostatin(SS)of(23.89±6.78)ng/L,which were higher than(90.76±9.67),(226.94±26.38)and(18.26±6.32)ng/L in the control group,and the difference was statistically significant(P<0.05).After treatment,the complication rate of the study group was 7.50%,which was lower than 25.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic minimally invasive repair has good clinical efficacy in patients with emergency gastroduodenal ulcer perforation,which can improve the gastrointestinal hormones and gastrointestinal motility of patients,reduce postoperative complications,and help patients recover in the shortest possible time,which is worth promoting in clinical practice.
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