老年人上消化道穿孔应用开腹手术与腹腔镜联合胃镜治疗的疗效对比分析

doi:10.3969/j.issn.10056483.2018.11.015

摘要/Abstract

摘要： 目的分析老年人上消化道穿孔应用开腹手术与腹腔镜联合胃镜治疗疗效的差异。方法老年上消化道穿孔病人90例，按照随机数字法分为研究组和对照组，每组45例。对照组采用常规治疗方法开腹手术，研究组应用腹腔镜联合胃镜进行治疗。观察两组病人的治疗效果、术中各项指标、并发症的发生情况以及治疗前后生活质量的变化。结果研究组治疗有效率为93.3%，对照组为68.9%，两组比较差异有统计学意义（P＜0.05）;研究组病人住院时间为（4.9±1.3）天，术中出血量（14.6±2.2）ml，对照组分别为（7.6±1.4）天和（31.2±4.1）ml，两组比较差异有统计学意义（P＜0.05）;研究组并发症发生率为4.4%，对照组为26.7%，两组比较差异有统计学意义（P＜0.05）;治疗前两组病人生活质量比较无明显差异（P＞0.05），治疗后研究组病人生活质量的改善明显优于对照组（P＜0.05）。结论老年人上消化道穿孔应用腹腔镜联合胃镜治疗，术后恢复快，术后并发症发生率低，可改善临床各项指标，提高生活质量。

关键词: 上消化道穿孔, , 开腹手术, , 腹腔镜, , 胃镜, , , 治疗效果

Abstract: Objective To analyze the difference of efficacy between laparotomy and laparoscopic gastroscopy in elderly patients with gastrointestinal perforation.Methods 90 cases of elderly patients with digestive tract perforation，according to the method of random numbers are divided into research group and the control group，45 cases each.Control group were treated by routine treatment procedure，application of combined gastroscope laparoscopic treatment group patients.To observe the therapeutic effect of the two groups，the differences of various indicators in the operation，the occurrence of complications and the changes in the quality of life before and after treatment. Results The effective rate of treatment in the study group was 93.3%，the effective rate of the control group was 68.9%，the effective rate of the study group was significantly higher than that of the control group（P<0.05）.The hospitalization time of the study group was(4.9±1.3)d，the amount of bleeding in the operation was(14.6±2.2)ml;the time of hospitalization of the control group was(7.6±1.4)d，and the amount of bleeding during the operation was(31.2±4.1)ml，the level of each index was significantly lower than that of the control group（P<0.05）.The complication rate of the study group was 4.4%，the incidence of complications in the control group was 26.7%（P＜0.05）.Quality of life aspect，the two groups before treatment patients quality of life in all aspects has no obvious difference（P>0.05），after treatment the team to improve the quality of life of patients with significantly higher than the control group patients（P<0.05）.Conclusion The elderly digestive tract perforation application of combined gastroscope thoracoscope treatment effect is more ideal，fast postoperative recovery，reduce the incidence of postoperative complications，significantly improve patients clinical indicators，improve the quality of life of patients.

Key words: gastrointestinal perforation, , open surgery, , , laparoscope, , , gastroscope, , , treatment effect

张洪印贾学伟刘汉博 . 老年人上消化道穿孔应用开腹手术与腹腔镜联合胃镜治疗的疗效对比分析[J]. 临床外科杂志, 2018, 26(11): 849-851.

ZHANG Hongyin, JIA Xuewei, LIU Hanbo. A comparative analysis of the curative effect of laparotomy and laparoscopic combined with gastroscopy in the aged patients with gastrointestinal perforation[J]. JOURNAL OF CLINICAL SURGERY, 2018, 26(11): 849-851.

参考文献

相关文章 15

[1]	冯锦腾范坤张广健付军科高蕊. 食管异物202例临床分析[J]. 临床外科杂志, 2018, 26(9): 683-685.
[2]	张荣广刘成菊. 不同微创保胆取石术的临床疗效对胆囊结石病人胆囊、肝功能及生活质量的影响[J]. 临床外科杂志, 2018, 26(9): 696-698.
[3]	马先仕陈洪刚吴念寿柯松肖绪鹏. 三维可视化技术指导下腹腔镜联合胆道硬镜治疗肝胆管结石的疗效分析[J]. 临床外科杂志, 2018, 26(9): 699-701.
[4]	王国义梁剑峰田锦林鲍峰. 内镜直视与X线透视下支架置入术治疗晚期食管贲门癌临床疗效比较[J]. 临床外科杂志, 2018, 26(9): 679-682.
[5]	马跃峰邢鑫马震川孔冉冉孙良璋乔哲李少民. 术中肋间神经阻滞联合术后静脉使用镇痛泵对开胸术后镇痛效果的观察[J]. 临床外科杂志, 2018, 26(9): 686-688.
[6]	张亦超熊涛陈淑娟胡航丁召钱群. 痔上黏膜环切术后并发直肠囊肿一例[J]. 临床外科杂志, 2018, 26(9): 720-720.
[7]	彭银杰李印陈威鹏凃成志袁俊马海波秦建军. 老年cT1N0M0食管癌病人内镜和手术治疗预后分析：基于SEER数据库[J]. 临床外科杂志, 2018, 26(9): 651-656.
[8]	陈传贵段晓峰姜宏景. 达芬奇机器人手术系统辅助对比胸腹腔镜辅助食管癌根治术的研究进展[J]. 临床外科杂志, 2018, 26(9): 715-718.
[9]	谭锋维薛奇牟巨伟高禹舜毛友生王大力赵峻李宁王镇高树庚赫捷. 从最新指南解读食管胃交界部腺癌的外科治疗[J]. 临床外科杂志, 2018, 26(9): 641-643.
[10]	陆超敬洪江李鑫杨立信. 经口置入钉砧头系统在颈段及胸上段食管癌根治术中的应用[J]. 临床外科杂志, 2018, 26(9): 662-664.
[11]	邹文彬邓豫付向宁吴骁伟. 分层缝合加带蒂大网膜包埋在食管良性破裂修补术中的应用[J]. 临床外科杂志, 2018, 26(9): 665-667.
[12]	王涛贾建博辛向兵朱爱林. 电视胸腔镜食管癌微创手术后呼吸衰竭发生风险的潜在影响因素分析[J]. 临床外科杂志, 2018, 26(9): 668-670.
[13]	胡军, 李绍员, 李包根, 罗俊峰. 腹腔镜阑尾切除术中阑尾根部结扎与Hem-o-lok夹闭的对比研究[J]. 临床外科杂志, 2018, 26(12): 920-921.
[14]	李志庆孙吉霞李斌李哲夫. 全内脏反位胆囊结石行腹腔镜胆囊切除术一例[J]. 临床外科杂志, 2018, 26(11): 892-892.
[15]	刘胜新吴兰艳徐军辉李震. 精细膜解剖技术在甲状腺手术中的应用体会（附211例报告）[J]. 临床外科杂志, 2018, 26(11): 839-841.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed