穿孔性胃潰瘍的 laparoscopic 修復與開放修復: 評估生活質量
Suleyman Caglar Ertekin1, Ozhan Cetindag2, Muhammer Ergenç3
1Department of General Surgery, Altinbas University School of Medicine, Istanbul, Turkey; Department of General Surgery, Cekirge State Hospital, Bursa, Turkey.
概括
对穿孔性胃潰瘍 (PPU) 的腹腔镜修复 (LR) 比开放修复 (OR) 有好处,包括更少的并发症和更好的生活质量. 需要进一步监测,以确认患者的长期结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 患者为中心的结果.
背景情况:
- 穿孔性胃 (PPU) 治疗结果,特别是以患者为中心的指标,如生活质量,需要进一步调查.
- 腹腔镜修复 (LR) 和开放修复 (OR) 是PPU的手术选择,对患者的康复有不同的影响.
研究的目的:
- 为了比较腹腔镜修复 (LR) 与开放修复 (OR) 对穿孔性胃潰瘍 (PPU) 的疗效.
- 评估LR和OR对患者生活质量和PPU治疗后的满意度的影响.
主要方法:
- 在2017年1月至2020年4月期间接受治疗的PPU患者的回顾性评估.
- 患者被分为两组:腹腔镜修复 (LR) 和开放修复 (OR).
- 人口统计数据,术后指标,疼痛管理,患者满意度和生活质量指标的比较.
主要成果:
- 在LR (n=35) 和OR (n=62) 组之间的人口或临床特征没有显著差异.
- OR组的切口和手术部位感染率显著更高 (P < .05).
- 在手术后的30天和1年间,LR组的住院时间更短,恢复正常饮食速度更快,手术部位感染更少,生活质量得分 (身体功能,角色,疼痛,一般健康) 更好.
结论:
- 与开放式修复 (OR) 相比,PPU的腹腔镜修复 (LR) 与减少住院时间和较低的手术部位感染率有关.
- 在患者满意度和生活质量指标方面,LR显示出有前途的改善.
- 由于术后监测时间有限,长期结果需要进一步调查.
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