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目的探讨腹腔镜下行穿孔修补术在治疗急性胃穿孔的临床效果,并有效指导腹腔镜治疗胃穿孔。方法选取2007年10月至2010年10月收治的92例急性胃穿孔患者,并对患者的临床资料进行分析,选取其中46例患者行常规开腹手术治疗,作为对照组;另外的46例患者行腹腔镜穿孔修补术,作为观察组。结果对照组患者的平均住院天数为(11.2±2.6)d,观察组患者平均住院天数为(6.9±1.9)d,由结果分析观察组患者的住院天数明显较少(P<0.05),观察组患者中有并发症发生的为2例,占整组比例的4.34%,对照组患者中有并发症发生的为9例,占整组比例的19.57%,由此可见观察组中并发症的发生率与对照组相比低很多,(P<0.05),具有统计学意义。结论腹腔镜治疗急性胃穿孔效果显著且创伤性较小、恢复速度快且住院时间短、术后的并发症少,值得临床推广应用。
Objective To investigate the clinical effect of laparoscopic perforation repair in the treatment of acute gastric perforation and to effectively guide laparoscopic treatment of gastric perforation. Methods A total of 92 patients with acute gastric perforation who were admitted to our hospital from October 2007 to October 2010 were enrolled in this study. Clinical data of the patients were analyzed. Forty-six patients underwent routine laparotomy as the control group. Another 46 patients Laparoscopic perforation repair, as the observation group. Results The average length of stay in the control group was (11.2 ± 2.6) d, and the average length of stay in the observation group was (6.9 ± 1.9) days. The results showed that the days of hospitalization in the observation group were significantly less (P <0.05) In patients with complications occurred in 2 cases, accounting for 4.34% of the whole group, the control group of patients with complications occurred in 9 cases, accounting for 19.57% of the entire group, which shows the occurrence of complications in the observation group The rate was much lower than the control group (P <0.05), with statistical significance. Conclusions Laparoscopic treatment of acute gastric perforation is significant and less traumatic, faster recovery and shorter hospital stay, postoperative complications less worthy of clinical application.