开腹手术与腹腔镜手术在胃肠道穿孔患者治疗中的临床应用效果对比.doc

精品论文 参考文献 开腹手术与腹腔镜手术在胃肠道穿孔患者治疗中的临床应用效果对比 （四川省广元市利州区三堆镇卫生院 杨继金 628007） 　　【摘要】目的：比较开腹手术与腹腔镜手术在胃肠道穿孔患者治疗中的临床应用效果。方法：选取我院收治的胃肠道穿孔患者120例为研究对象，将采用开腹手术治疗的患者分为开腹组，将采用腹腔镜手术的患者分为微创组，比较两组患者平均手术时间、术中出血量、住院时间及手术并发症发生情况。结果：微创组术中出血量及住院时间明显少于开腹组，并发症发生率明显小于开腹组，两组患者平均手术时间无明显差别。结论：对胃肠穿孔患者进行腹腔镜手术治疗效果明显优于开腹手术，可有效减少术中出血，缩短住院时间，且并发症少，值得基层医院广泛推广与应用。 　　【关键词】开腹手术；腹腔镜手术；胃肠道穿孔；应用效果；对比 　　【 abstract 】 objective: to compare the laparotomy and laparoscopic surgery in the treatment of patients with gastrointestinal perforation clinical application effect. Selection methods: our hospital 120 cases of patients with gastrointestinal perforation as the research object, the patients treated with open operation is divided into open group, will be divided into minimally invasive laparoscopic surgery patients group, compared two groups of patients with an average operation time, intraoperative blood loss, hospital stay, and complications occurrence. Results: the intraoperative blood loss and hospital stay of minimally invasive group was obviously less than laparotomy group, the incidence of complications are much smaller than laparotomy group, the average operation time has no obvious difference between two groups of patients. Conclusion: laparoscopic surgery in patients with gastrointestinal perforation treatment effect is superior to laparotomy, which can effectively reduce the intraoperative bleeding, shorten the length of hospital stay, and less complications, worthy of basic-level hospitals widespread popularization and application. 　　【 key words 】 laparotomy; Laparoscopic surgery; Gastrointestinal perforation; Application effect; contrast 　　胃肠道穿孔是胃溃疡最严重的并发症之一，其发生主要是因为患者在胃溃疡基础上暴饮暴食，导致胃酸和胃蛋白酶分泌增加诱发胃肠穿孔[1]。胃肠穿孔临床表现强烈，通常为突发性剧烈腹部疼痛，疼痛持续呈刀割或烧灼感，且很快扩散至全腹部，不进行及时有效的处理将引起化学性或细菌性腹膜炎或中毒性休克，情况严重的将威胁患者生命。胃肠道穿孔的治疗传统以开腹修补手术为主要疗法，随着微创技术的不断发展，腹腔镜手术也逐渐在胃肠道穿孔的治疗中应用开来。本文将对我院分别采用开腹手术与腹腔镜手术治疗胃肠道穿孔患者的治疗效果进行对比，对比分析二者的应用效果。 　　1.资料与方法 　　1.1一般资料 　　选取我院2012年2月至2014年2月收治的胃肠道穿孔患者120例为研究对象。男性68例，女性52例，年龄28~62岁，平均年龄（48.5 2.