摘要
目的比较单纯修补术及胃大切手术治疗急性胃穿孔的疗效。方法收集急性胃穿孔患者112例。根据手术方式分为胃大切除组62例和单纯修补组50例。胃大切除组行胃大切除术治疗,单纯修补组行单纯的修补术治疗,观察两组的手术时间、下床活动时间、住院时间、术后并发症和复发情况,并比较两组的临床疗效。结果单纯修补组手术时间、下床活动时间和住院时间较胃大切除组短(P<0.05)。单纯修补组术后感染、休克、总并发症发生率及复发率高于胃大切除组(P <0.05)。单纯修补术的治愈率、显效率及总有效率高于胃大切除组(P <0.05)。结论对急性胃穿孔,单纯修补术的临床疗效优于胃大切除术,且具有手术时间短、术后下床活动时间短短等优势,但也存在较高的术后并发症和复发率,故在临床实际应用过程中应结合病情选择合适的手术方案。
Objective To compare the efficacy of simple repair and large gastric resection for acute gastric perforation. Methods 112 patients with acute gastric perforation were collected. According to the operative methods, the patients were divided into two groups, each 50 cases in the large gastric resection group and the simple repair group. The gastrectomy group was treated with gastrectomy, and the simple repair group was treated with simple repair. The time of operation, the time of the ambulation, the time of hospitalization, the postoperative complications and the recurrence of the two groups were observed, and the clinical effects of the two groups were compared. Results The time of operation, the time of ambulation and the duration of hospitalization in the simple repair group were significantly shorter than those in the large gastric resection group(P < 0.05). Postoperative infection, shock, the rate of total complications and the rate of recurrence in the simple repair group were significantly higher than those in the large gastric resection group(P < 0.05). The cure rate, effective rate and total effective rate of simple repair were significantly higher than those of the large gastric resection group(P < 0.05). Conclusion The clinical curative effect of acute gastric perforation with simple repair is superior to that of large gastric resection, and has the advantages of short time of operation and short time of the ambulation after operation, but there are also higher rate of postoperative complication and recurrence. Therefore, the appropriate surgical plan should be selected in the course of clinical practice.
作者
于程远
于丽群
YU Chengyuan;YU Liqun(General Surgery Department,the People's Hospital of Rushan,Rushan Shandong 264500,China)
出处
《中国卫生标准管理》
2018年第22期67-69,共3页
China Health Standard Management
关键词
急性胃穿孔
单纯修补术
胃大切手术
术后并发症
复发
胃溃疡
acute gastric perforation
simple repair
large gastric resection
postoperative complications
recurrence
gastric ulcer
