摘要
Abstract
Objective:To investigate the clinical effect of four-hole laparoscopic perforation repair in patients with acute perforation of gastroduodenal ulcer.Method:A total 60 patients with acute perforation of gastroduodenal ulcer admitted to Liupanshui Municipal People's Hospital from December 2022 to December 2024 were retrospectively analyzed and divided into two groups according to different surgical methods,with 30 cases in each group.The control group underwent traditional laparotomy repair,and the observation group underwent four-hole laparoscopic perforation repair.Perioperative indexes,pain degree,inflammation indexes and complication rate between the two groups were compared.Result:The operation time,anal exhaust time,getting out of bed time,hospitalization time and incision length in the observation group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).At 6,24 and 48 h after operation,visual analogue scale(VAS)scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before operation,there were no significant differences in inflammation indexes between the two groups(P>0.05).On the first day after operation,the hypersensitive C reactive protein(hs-CRP)and white blood cell count(WBC)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The complication rate of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with traditional open repair,four-hole laparoscopic perforation repair for acute perforation of gastroduodenal ulcer is more effective in optimizing perioperative indexes,alleviating inflammation and pain,and reducing complications.关键词
胃十二指肠溃疡/急性穿孔/四孔腹腔镜穿孔修补术/围手术期指标/疼痛程度/炎症指标/并发症Key words
Gastroduodenal ulcer/Acute perforation/Four-hole laparoscopic perforation repair/Perioperative index/Pain degree/Inflammation index/Complications
