【摘要】 目的 :探讨腹腔镜与开腹修补术治疗上消化道穿孔的疗效,分析两种术式的临床价值。方法 :选取60例急诊手术治疗的上消化道溃疡穿孔的患者进行回顾性分析,按术式的不同分为腹腔镜组(laparoscopy组,n=31)和开腹修补术组(laparotomy组,n=29)。结果:两组手术成功率均为100%(P>0.05)。laparoscopy组术后排气时间、进食时间、下床活动时间、住院时间均短于laparotomy组,术中出血量、术后1～3 d引流量、住院费用均少于laparotomy组,术后VAS评分、术后并发症总发生率低于laparotomy组(P <0.05)。结论 :腹腔镜治疗上消化道穿孔具有术中出血及引流量少、疼痛轻、术后并发症发生率低、术后恢复快等优点。更多还原

【Abstract】 Objective: To evaluate the efficacy of laparoscopy and laparotomy repair in the treatment of upper gastrointestinal perforation and analyze their clinical value. Methods: The data from 60 cases of patients with upper gastrointestinal perforation were retrospectively analyzed. They were divided into a laparoscopy group(n=31) and a laparotomy group(n=29). Results: Surgery were all performed in the two groups with surgery successful rate 100%(P>0.05). The times for postoperative exhaust, eating food, getting out of bed, and hospital stay were shorter, the volume of intraoperative blood loss and postoperative drainage at 1-3 days and the hospitalization costs were all less, and the postoperative VAS scores and the total incidence of postoperative complications were lower in the laparoscopy group than the laparotomy group(P<0.05). Conclusion: Laparoscopy for the treatment of upper gastrointestinal perforation has the advantages of less bleeding and drainage and less pain, low the incidence of postoperative complications and rapid postoperative recovery.更多还原