The clinical study of minimally invasive peritoneal lavage treating the perforation of the upper part of the gastrointestinal tract
10.3760/cma.j.issn.1008-6706.2013.19.031
- VernacularTitle:微创腹腔置管灌洗治疗上消化道溃疡穿孔疗效观察
- Author:
Bin FENG
- Publication Type:Journal Article
- Keywords:
Peptic ulcer Perforation;
Peritoneal Lavage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2013;20(19):2949-2950
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the application of minimally invasive peritoneal lavage in treating the perforation of the upper part of the gastrointestinal tract.Methods The clinical data of 120 patients suffered with upper digestive tract perforation treated from 2005 to 2012 were reviewed retrospectively.86 cases received peritoneal lavage as therapy group,in which 26 cases received saline lavage,33 cases received antibiotic lavage,27 cases received dermacyn lavage.34 cases without peritoneal lavage as control group.The improved clinical indicators and postoperative complications were analyzed in two groups.Results The time of improved clinical indicators,peritonitis releasing,stomach resuming,food taken and being in hospital in therapy group were shorter than those of control group.The incidence of intraabdominal abscess of receiving salin lavage group and control group was the same,the intestinal adhesion rate in receiving peritoneal lavage group and the saline lavage group had no obvious difference,the incidence of intraabdominal abscess and intestinal adhesion in dermacyn lavage group was significantly lower than those of other groups.Conclusion Minimally invasive peritoneal lavage is a treatment of upper digestive tract perforation method,intestinal function recovers rapidly,abdominal complications are few,the effect of dermacyn peritoneal lavage on treatment of peforated ulcer of upper digestive tract is better than antibiotic lavage,which is suitable for clinical application.
