[1]白正忠,连凌云,王 鑫△.腹腔镜与开腹胃溃疡穿孔修补术对老年患者术后恢复及并发症发生对比研究*[J].陕西医学杂志,2020,49(11):1469-1471,1475.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.025]
　BAI Zhengzhong,LIAN Lingyun,WANG Xin..Effects of laparoscopic and open repair of gastric ulcer perforation on postoperative recovery and complications in elderly patients[J].,2020,49(11):1469-1471,1475.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.025]
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腹腔镜与开腹胃溃疡穿孔修补术对老年患者术后恢复及并发症发生对比研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年11期
页码:
1469-1471,1475
栏目:
临床研究
出版日期:
2020-11-05

文章信息/Info

Title:
Effects of laparoscopic and open repair of gastric ulcer perforation on postoperative recovery and complications in elderly patients
作者:
白正忠1; 2; 连凌云1; 王 鑫3△
1.陕西省榆林市第一医院(榆林719000); 2.陕西省榆林市横山区人民医院(榆林719100)；3.陕西中医药大学附属医院(咸阳 712000)
Author(s):
BAI Zhengzhong; LIAN Lingyun; WANG Xin.
The First Hospital of Yulin,Shaanxi Province(Yulin 719100)
关键词:
胃溃疡穿孔;  腹腔镜;  并发症;  老年人;  术中出血量;  手术时间
Keywords:
Gastric ulcer perforation;  Laparoscopy;  Complication;  Elderly;  Intraoperative blood loss;  Operation time
分类号:
R656.62
DOI:
DOI:10.3969/j.issn.1000-7377.2020.11.025
文献标志码:
A
摘要:
目的:比较腹腔镜与开腹胃溃疡穿孔修补术对老年患者术后恢复及并发症发生的影响。方法:选取106例胃溃疡穿孔修补术的老年患者,依据手术方式的不同,分为开腹组(47例)与腹腔镜组(59例)。比较两组患者手术期情况、术后恢复和并发症发生情况。结果:相比开腹组,腹腔镜组术中出血量明显减少,手术时间、肠鸣音恢复时间及肛门排气时间均明显缩短(P<0.05)。两组术后腹胀痛积分、肠鸣音积分及胃肠反应积分较术前均明显减少,且腹腔镜组术后症状积分均明显低于开腹组(P<0.05)。两组术后血清胃动素、胃泌素、胃蛋白酶原I(PGI)和胃蛋白酶原II(PGII)水平均明显提高,腹腔镜组术后胃动素、胃泌素、PGI和PGII水平均明显高于开腹组(P<0.05)。两组术后并发症发生率比较,并无统计学差异(P>0.05)。结论:相比开腹胃溃疡穿孔修补术,腹腔镜手术的治疗效果更加明显,可有效加快患者术后恢复,且具有良好的安全性。
Abstract:
Objective:To compare the effects of laparoscopic and open repair of gastric ulcer perforation on postoperative recovery and complications in elderly patients.Methods:106 cases of elderly patients treated with gastric ulcer perforation repair were selected and divided into open group(47 cases)and laparoscopic group(59 cases)according to different surgical methods.The perioperative conditions,postoperative recovery and complications of the two groups were compared.Results:Compared with the open group,the intraoperative blood loss in the laparoscopic group was significantly reduced,the operation time,recovery time of bowel sounds and anal exhaust time were significantly shortened(P<0.05).The scores of abdominal distension pain,bowel sounds and gastrointestinal reaction in the two groups were significantly reduced,and the scores of postoperative symptoms in the laparoscopic group were significantly lower than those in the open group(P<0.05).The levels of serum motilin,gastrin,pepsinogen Ⅰ(PG Ⅰ)and pepsinogen Ⅱ(PG Ⅱ)in the two groups were significantly higher than those in the open group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Compared with open repair of gastric ulcer perforation,laparoscopic surgery has more obvious therapeutic effect,which can effectively accelerate the recovery of patients,and has good safety.

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备注/Memo

备注/Memo:
*陕西省科技计划攻关项目(2018SF163)
更新日期/Last Update: 2020-11-05