Clinical Observation Of Laparoscopic Repair And Open Surgery In The Treatment Of Gastric Ulcer Perforation

Objective To study the clinical effect of laparoscopic repair and open surgery in the treatment of gastric ulcer perforation.Method 72 patients with gastric ulcer perforation from January 2007 to December 2013 was selected and divided into open surgery group(n=39)and laparoscopy group(n=33).The patients in open surgery group were treated by open surgery,while the patients in experimental group were treated by laparoscopic repair.The gender,age,body mass index,the number of combined gastritis,the number of malnutrition,the number of leukocytes,the time of onset to diagnosis were collected between the two groups.The clinical indices including operation duration,intraoperative blood loss,rinses usage,the perforation diameter,area of ulcer,the number of pyloric canal perforation,the number of gastric antrum mastoideum perforation,the number of lesser curvature perforation,pethidine usage,time of anus exhaust,time of get out of bed,time of pull out stomach tube,time of pull out drainage tube,length of hospital stay,probability of incision infection,intestinal adhesion rate of both groups were compared.Measurement data was analyzed by t test,count data was analyzed by chi square test,P<0.05 was considered statistically significant.Results The gender,age,body mass index,the number of combined gastritis,the number of malnutrition,the number of leukocytes,the time of onset to diagnosis of both groups were not statistically significant.The operation duration,intraoperative blood loss,rinses usage,pethidine usage,time of anus exhaust,time of get out of bed,time of pull out stomach tube,time of pull out drainage tube,length of hospital stay,probability of incision infection of laparoscopy group were(76.42�2.86)min,(26.36�12.20)ml,(1303.03�304.64)ml,(30.30�32.93)mg,(42.18�15.62)h,(28.73�6.67)h,(3.33�0.49)d,(4.42�0.71)d,(5.82�0.81)d,(0/33),in open surgery group were(65.90�3.65)min,(60.77�18.41)ml,(2961.54�517.90)ml,(84.62�34.71)mg,(74.26�11.53)h,(41.54�8.19)h,(4.54�0.51)d,(5.87�0.66)d,(8.08�0.84)d,(6/39),the differences were statistically significant(all P<0.05).The perforation diameter,area of ulcer,the number of pyloric canal perforation,the number of gastric antrum mastoideum perforation,the number of lesser curvature perforation,intestinal adhesion rate of both groups were not statistically significant(all P>0.05).Conclusion Laparoscopic repair can improve the clinical effect of gastric ulcer perforation and deserves to be popularized.