消化道溃疡急性穿孔78例诊疗分析

Diagnosis and treatment of acute perforation of peptic ulcer

目的探讨消化性溃疡急性穿孔的诊断和治疗方法。方法对2001～2009年在笔者所在医院治疗的78例消化性溃疡的急性穿孔患者的临床资料进行回顾性分析。结果68例行手术治疗，其中行单纯穿孔修补术32例，胃大部分切除36例，非手术治疗10例。结论胃大部分切除手术是胃十二指肠急性穿孔的主要治疗方法，术后无并发症，疗效好，应该掌握手术适应证，以便提高治愈率。

Objective To investigate the acute ,oerforation of peptic ulcer diagnosis and treatment of clinical efficacy. Methods From 2005 to 2009 in our hospital treated 78 cases of acute perforation of peptic ulcer patients with clinical data were analyzed retrospectively. Results Of which 68 cases with surgical treatment, in which with simple perforation repair, 32 cases of gastric resection in 36 cases, non -surgical therapy in 10 cases. Conclusion The gastric resection is the most acute gastroduodenal perforation of the main methods of treatment should be to master surgical indications in order to improve the cure rate and reduce the mortality.