[1]张 峰.腹腔镜穿孔修补术治疗老年胃溃疡合并胃穿孔的疗效[J].医学信息,2020,33(09):99-100.[doi:10.3969/j.issn.1006-1959.2020.08.029]
　ZHANG Feng.Therapeutic Effect of Laparoscopic Perforation Repair on Elderly Patients with Gastric Ulcer and Gastric Perforation[J].Medical Information,2020,33(09):99-100.[doi:10.3969/j.issn.1006-1959.2020.08.029]
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腹腔镜穿孔修补术治疗老年胃溃疡合并胃穿孔的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年09期
页码:
99-100
栏目:
临床研究
出版日期:
2020-05-01

文章信息/Info

Title:
Therapeutic Effect of Laparoscopic Perforation Repair on Elderly Patients with Gastric Ulcer and Gastric Perforation
文章编号:
1006-1959（2020）08-0099-02
作者:
张 峰
（解放军天津康复疗养中心/原四六四医院普外科，天津 300381）
Author(s):
ZHANG Feng
(People’s Liberation Army Tianjin Rehabilitation and Rehabilitation Center/Former General Surgery of 464 Hospital,Tianjin 300381,China)
关键词:
老年胃溃疡合并胃穿孔; 腹腔镜下穿孔修补术; 出血量
Keywords:
Elderly gastric ulcer with gastric perforation; Laparoscopic repair of perforation; Bleeding volume
分类号:
R656.6
DOI:
10.3969/j.issn.1006-1959.2020.08.029
文献标志码:
A
摘要:
目的 探讨腹腔镜下穿孔修补术对老年胃溃疡合并胃穿孔患者术中出血量及并发症的影响。方法 选择2017年8月~2019年6月本院收治的老年胃溃疡合并胃穿孔患者106例，依据随机数表法分为对照组和观察组，每组53例。对照组进行常规开腹修补术治疗，观察组使用腹腔镜下穿孔修补术治疗，比较两组术中出血量、手术时间、术后排气时间、住院时间及术后3个月并发症发生率（腹腔感染、切口感染及肠梗阻）。结果 观察组手术时间、住院时间、术后排气时间均短于对照组，术中出血量少于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，但差异无统计学意义（P＞0.05）。结论 使用腹腔镜下穿孔修补术治疗老年胃溃疡合并胃穿孔能够减少术中出血量，降低手术并发症发生率，且安全性较好。
Abstract:
Objective To investigate the effect of laparoscopic perforation repair on the amount of intraoperative bleeding and complications in elderly patients with gastric ulcer and gastric perforation.Methods From August 2017 to June 2019, 106 elderly patients with gastric ulcer and gastric perforation admitted to our hospital were selected and divided into control group and observation group according to random number table method, 53 cases in each group. The control group was treated with conventional laparotomy and the observation group was treated with laparoscopic perforation and repair. The intraoperative blood loss, operation time, postoperative exhaust time, hospitalization time and 3 months postoperative complications were compared (intra-abdominal infection, incision infection and intestinal obstruction).Results The operation time, hospitalization time and postoperative exhaust time of the observation group were shorter than the control group, and the intraoperative blood loss was less than the control group, the difference was statistically significant(P＜0.05); The incidence of complications in the observation group was lower than that in the control group, but the difference was not statistically significant(P＞0.05).Conclusion The use of laparoscopic perforation repair in the treatment of elderly gastric ulcer combined with gastric perforation can reduce the amount of intraoperative bleeding, reduce the incidence of surgical complications, and have good safety.

参考文献/References:

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更新日期/Last Update: 2020-05-01