摘要
Abstract
Objective:To compare the clinical effect of laparotomy and laparoscopic surgery in the treatment of elderly patients with upper gastrointestinal tract perforation.Method:A total of 62 elderly patients with upper gastrointestinal tract perforation treated in the Gastrointestinal Medicine Department of our hospital from February 2017 to January 2018 were selected as the research objects.According to different treatment methods, they were divided into control group and observation group, 31 cases in each group.The control group was treated with traditional laparotomy, the observation group was treated with laparoscopic surgery.The surgical indicators, occurrence of postoperative complications and satisfaction with treatment between the two groups were observed and compared.Result:The operation time of the observation group was significantly longer than that of the control group, the incision length was significantly shorter than that of the control group, the amount of intraoperative bleeding was significantly less than that of the control group, the differences were statistically significant (P＜0.05).The time of postoperative analgesia and hospitalization in the observation group were significantly shorter than those in the control group, the time of postoperative anal exhaust was significantly earlier than that in the control group, the differences were statistically significant (P＜0.05).The incidence of postoperative complications in the observation group was significantly lower than that in the control group, the difference was statistically significant (x2=8.093, P=0.025).The total satisfaction degree with treatment of the observation group was 96.77％, which was significantly higher than 54.84％ of the control group, the difference was statistically significant (x2=7.664, P=0.033).Conclusion:Laparoscopic surgery in the treatment of elderly patients with upper gastrointestinal tract perforation can significantly shorten the length of incision, hospitalization and postoperative analgesia time, accelerate the speed of anal exhaust, reduce the amount of intraoperative bleeding and also reduce the incidence of postoperative complications at the same time.Therefore, it should be vigorously promoted in clinical practice.关键词
开腹手术/腹腔镜/老年/上消化道穿孔Key words
Laparotomy/Laparoscopy/Elderly/Perforation of upper gastrointestinal tract
