| 林 莉,朱一宁,朱智军,梁宗超,黄春生.腹腔镜微创手术对胃穿孔患者的疗效及胃肠动力的影响[J].,2017,17(9):1732-1734 |
| 腹腔镜微创手术对胃穿孔患者的疗效及胃肠动力的影响 |
| The Effect of Laparoscopic Minimally Invasive Surgery in the Treatment of Patients with Gastric Perforation and its Influence on Gastrointestinal Motility |
| 投稿时间：2016-09-13 修订日期：2016-10-09 |
| DOI：10.13241/j.cnki.pmb.2017.09.036 |
| 中文关键词: 腹腔镜微创手术 胃穿孔 胃肠动力 |
| 英文关键词: Laparoscope minimally invasive surgery Gastric perforation Gastrointestinal motility |
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| 中文摘要: |
| 摘要 目的：探讨腹腔镜微创手术治疗胃穿孔患者的疗效及对胃肠动力的影响。方法：收集我院于2015年6月~2016年6月间收治的胃穿孔患者92例。通过随机数表法分为观察组及对照组各46例，给予观察组患者腹腔镜微创手术治疗，给予对照组患者开腹手术治疗，比较两组患者临床相关指标及胃肠动力指标,采用放射免疫法测定两组术前、术后第1h、1d、2d、3d血清中胃泌素（GAS）水平，统计两组患者并发症情况。结果：观察组患者术中出血量、住院时间均低于对照组，差异均有统计学意义（P<0.05）；观察组患者肠鸣音恢复时间、肛门排气时间均低于对照组，差异均有统计学意义（P<0.05）；观察组患者手术时间高于对照组，差异有统计学意义（P<0.05）。两组患者术后第1d、2d、3d GAS水平均明显高于术前，且观察组患者均高于对照组，差异均有统计学意义（P<0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P<0.05）。结论：腹腔镜微创手术治疗胃穿孔具有出血量少，住院时间更短，胃肠动力恢复更快，并发症较少等多方面的优势，具有良好的应用前景。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of laparoscopic minimally invasive surgery in the treatment of patients with gastric perforation and its influence on gastrointestinal motility. Methods: Selected 92 cases of patients with gastric perforation in our hospital from June 2015-June 2016. They were divided into observation group and control group according to the random number table method, with 46 patients in each group. The observation group was underwent laparoscopic minimally invasive surgery, while the control group was underwent open surgery, Compared the related indicators of surgery and gastrointestinal motility in two groups, detected the serum gastrin (GAS) levels in two groups by radioimmunoassay method before surgery and 1h,1d,2d,3d after surgery, in the end, recorded the complications of the two groups. Results: The intraoperative blood loss,hospital stay in observation group were lower than the control group, the difference was statistically significant(P<0.05); And the recovery time of bowel sounds and anal exhaust time in observation group were lower than the control group, the differences were statistically significant(P<0.05), but the operation time was higher than the control group, the difference was statistically significant(P<0.05). GAS levels in the two groups 1 d, 2 d, 3 d after surgery were signifi- cantly increased than before surgery, at the same time, the observation group were higher than the control group, the differences were sta- tistically significant (P<0.05). Complication rate in observation group was lower than the control group, the difference was statistically significant(P<0.05). Conclusion: Laparoscopic minimally invasive surgery in the treatment of patients with gastric perforation has many advantage of less bleeding,shorter period of hospitalization, faster gastrointestinal motility recovery, and fewer complications, which has a good prospect of application. |
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