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目的评价两孔腹腔镜胃造瘘术治疗吞咽困难可行性。方法回顾性分析61例行腹腔镜胃造瘘术患者的临床资料,30例行两孔法患者为观察组,31例行三孔法患者为对照组;比较2组术中及术后并发症、术后疼痛程度,手术时间、术中出血量和术后住院时间。结果观察组手术时间[(35.45±4.55)min]、术后VAS疼痛评分[(1.22±0.51)分]低于对照组[(55.93±5.22)min、(3.23±0.21)分](P<0.05),术中出血量[(8.65±5.87)mL]、术后住院时间[(5.34±1.55)d]及并发症发生率(0)与对照组[(9.77±3.67)mL、(6.46±1.12)d、3.22%]比较差异均无统计学意义(P>0.05)。结论两孔法腹腔镜胃造瘘术简单、安全、有效。
Objective To evaluate the feasibility of two-hole laparoscopic gastrostomy for dysphagia. Methods The clinical data of 61 patients undergoing laparoscopic gastrostomy were retrospectively analyzed. Thirty patients with two-hole method were selected as the observation group and 31 patients with three-hole method as the control group. The intraoperative and postoperative complications , Degree of postoperative pain, operation time, intraoperative blood loss and postoperative hospital stay. Results The operation time of the observation group [(35.45 ± 4.55) min] and postoperative VAS pain score [(1.22 ± 0.51) min] were lower than those in the control group [(55.93 ± 5.22) min, (3.23 ± 0.21) min] ), Intraoperative blood loss (8.65 ± 5.87) mL, postoperative hospital stay (5.34 ± 1.55 days), and complication rate (0) compared with those in the control group (9.77 ± 3.67 mL, 6.46 ± 1.12, ) d, 3.22%] were no significant difference (P> 0.05). Conclusions The two-hole laparoscopic gastrostomy is simple, safe and effective.