摘要
探讨腹腔镜微创手术治疗特殊部位上消化道穿孔的可行性.回顾性分析并收集莆田学院附属医院胃肠外科2018年12月至2020年1月收治的74名特殊部位上消化道穿孔(胃食管结合部、胃后壁、幽门部、十二指肠降部)患者的临床资料,根据手术方式,分为腹腔镜微创手术组(43例)和开放手术组(31例),分析腹腔镜微创手术治疗特殊部位上消化道穿孔的安全性及可行性.结果显示:腹腔镜微创手术治疗组在手术时间、术中出血、术后第一次排气时间、术后第一次进食流质时间、住院天数等方面均优于开放手术组(P<0.05).全组患者中,共发生13例并发症,其中腹腔镜微创手术组并发症发生率为4.7%(2/43),开放手术组并发症发生率为35.5%(11/31),差异有统计学意义(P<0.001).结果表明:腹腔镜微创手术治疗特殊部位上消化道穿孔安全有效.
To explore the feasibility of laparoscopic surgery in the treatment of upper digestive tract perforation at special sites.Retrospective analysis and collection of the clinical data was made on 74 patients with upper gastrointestinal perforation(gastroesophageal junction,posterior wall of gastric body,Pyloric,descending part of duodenum)at special site of gastrointestinal surgery January 2012 and December 2018.According to the operation method,the data were divided into laparoscopic surgery group(43 cases)and open surgical group(31 cases),analysis was made on the laparoscopic surgery for special site safety and feasibility of upper gastrointestinal tract perforation.The results showed that the laparoscopic treatment group was superior to the open surgery group in terms of operation time,intraoperative bleeding,first postoperative exhaust time,first postoperative fluid intake time,and length of hospital stay(P<0.05).There were 13 cases of complications in the whole group,among which the complication rate of the laparoscopic group was 4.7%(2/43)and the complication rate of the open surgery group was 35.5%(11/31),the difference was statistically significant(P<0.001).The results showed that laparoscopic treatment of the special site of upper digestive tract perforation is safe and effective.
作者
李永良
林曦
LI Yong-liang;LIN Xi(Department of Gastrointestinal Surgery,The Affiliated Hospital of Putian University,Putian,Fujian 351100,China)
出处
《宁德师范学院学报（自然科学版）》
2020年第4期404-408,共5页
Journal of Ningde Normal University(Natural Science)
关键词
上消化道穿孔
腹腔镜
安全性
并发症
upper digestive tract perforation
laparoscopic surgery
complication rate
safe
