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Application Effect of Laparoscopic Repair in Upper Gastrointestinal Perforation |
Geng Yantao, Liu Wanli, Liu Zhipeng, Zhang Shuaina |
Emergency Department of Kaifeng 155th Hospital,Henan,Kaifeng,475003,China |
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Abstract Objective To explore the effect of laparoscopic repair in upper gastrointestinal perforation. Methods 121 eligible patients with coronary heart disease and hyperlipidemia were selected,all from the Kaifeng 155 hospital,with different surgical methods for grouping principle is divided into two groups,including group A(traditional repair,60 cases),group B(laparoscopic repair,61 cases).Both groups were observed until discharge and followed-up for 1 month.Compared the two groups of perioperative indicators,VAS scores at different time points,inflammatory factors before and 3 d after surgery,quality of life before and 1 month after surgery,and the occurrence of complications during the observation period. Results Comparing Group A and B,Group B,group A and B decreased at 24 h and 48 h after surgery,and group B,3 d serum inflammation(CRP,PCT,IL-6,TNF-α),and group B(all P<0.05).During the observation period,the overall incidence of complications was different between groups A and B(P>0.05). Conclusion For patients with upper gastrointestinal perforation,laparoscopic repair can effectively improve operation-related parameters,reduce pain,control inflammation,improve the quality of life,and have high safety.
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Received: 18 February 2025
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[1] 陈炳勋,彭朝阳,吴勤祥,等.腹腔镜与开腹手术治疗老年胃溃疡并穿孔的疗效观察[J].中国普通外科杂志,2020,29(10):1270-1274. [2] 夏文岩. 探究微创腹腔镜与传统开腹修补术治疗老年上消化道穿孔术后的并发症及预后差异[J].中国医药指南,2020,18(20):73-74. [3] 祁建,朱鸣杰,樊琦,等.腹腔镜修补术治疗消化道穿孔的效果及对胃肠功能和VAS评分的影响[J].医药论坛杂志,2021,42(24):19-22. [4] 白正忠,连凌云,王鑫.腹腔镜与开腹胃溃疡穿孔修补术对老年患者术后恢复及并发症发生对比研究[J].陕西医学杂志,2020,49(11):1469-1471+1475. [5] 李兆申,贝政平,王琍琳.《消化道疾病诊疗标准》[M].上海:上海科学普及出版社,2014:45-47. [6] 杨彦,谭昌静,杨效东,等.腹腔镜下修补术治疗胃十二指肠溃疡穿孔的疗效及对VAS评分的影响[J].中国现代普通外科进展,2022,25(3):222-224. [7] 陈俊辉,王晨,徐庆春,等.腹腔镜修补术和传统修补术对上消化道穿孔患者的治疗效果及对胃肠道功能的影响[J].中华保健医学杂志,2022,24(1):72-74. [8] 袁有义,肖瑜,盛兆嗣,等.腹腔镜修补术和传统修补术对上消化道穿孔患者的治疗效果及对胃肠道功能的影响分析[J].中外医疗,2024,43(4):58-61. [9] 刘津平,张梅巧.腹腔镜行修补术治疗老年上消化道穿孔的疗效及预后观察[J].现代诊断与治疗,2022,33(19):2945-2947. [10] 杨松煊,卫书山,林万.胃穿孔微创术式与传统开放性修补术对患者胃肠动力的影响[J].贵州医药,2020,44(4):585-587. [11] 王艳良,陈涛.腹腔镜胃十二指肠修补术对消化性溃疡急性穿孔患者的疗效及预后的影响[J].现代消化及介入诊疗,2019,24(11):1285-1287. [12] 艾常华,陈伟,刘洪波,等.改良五孔法腹腔镜胃十二指肠溃疡穿孔修补术的应用价值[J].腹腔镜外科杂志,2021,26(3):211-213+222. [13] 叶勇,曹荣格,金奎,等.腹腔镜与开腹手术治疗急性上消化道穿孔33例临床分析[J].现代科学仪器,2022,39(4):87-90+102. |
[1] |
. [J]. journal1, 2025, 45(2): 59-61. |
[2] |
. [J]. journal1, 2025, 45(2): 115-117. |
[3] |
. [J]. journal1, 2025, 45(2): 121-124. |
[4] |
Tian Lu, Ruan Zheng, Guo Yuping. Study on the Relationship between miRNA-146a Expression in Peripheral Blood Mononuclear Cells and Oxidative Stress Levels and Inflammatory Response in Patients with Chronic Obstructive Pulmonary Disease[J]. journal1, 2025, 45(1): 1-4. |
[5] |
. [J]. journal1, 2025, 45(1): 79-81. |
[6] |
. [J]. journal1, 2024, 44(4): 103-105. |
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