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