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腹腔镜修补术治疗胃穿孔临床疗效观察

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摘要 目的探讨腹腔镜修补术治疗胃穿孔的临床效果。方法选取医院2017年3月至2018年6月收治的胃穿孔患者66例,随机分为观察组和对照组,各33例。对照组患者选择常规开腹手术,观察组患者采用腹腔镜修补术。结果两组有效率无显著差异(P>0.05);观察组患者术后感染发生率为15.15%,显著低于对照组的48.48%(P<0.05);观察组满意度为100.00%,显著高于对照组的81.82%(P<0.05);观察组患者的术中出血量、术后疼痛评分、术后下床时间和住院时间均明显优于对照组(P<0.05)。结论腹腔镜修补术治疗胃穿孔能保证临床治疗效果的同时可降低术后感染的发生率,还可缓解疼痛,减少术中出血量。 Objective To investigate the clinical effect of laparoscopic repair for gastric perforation.Methods Totally 66 patients with gastric perforation admitted to our hospital from March 2017 to June 2018 were randomly divided into the observation group and the control group,33 cases in each group.The patients in the control group were treated with routine laparotomy,while the patients in the observation group were treated with laparoscopic repair.Results There was no significant difference in the effective rate between the two groups(P>0.05).The incidence of postoperative infection in the observation group was 15.15%,which was significantly lower than 48.48% in the control group(P<0.05),the satisfaction rate in the observation group was 100.00%,which was significantly higher than 81.82% in the control group(P<0.05).The amount of intraoperative bleeding,post-operative pain score,post-operative time out of bed and hospital stay in the observation group were significantly better than those in the control group(P<0.05).Conclusion Laparoscopic repair for gastric perforation can ensure clinical efficacy,reduce the incidence of postoperative infection,alleviate pain and reduce intraoperative bleeding.
作者 胥钱平
出处 《中国药业》 CAS 2018年第A02期83-84,共2页 China Pharmaceuticals
关键词 胃穿孔 腹腔镜修补术 临床疗效 gastric perforation laparoscopic repair clinical effect
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