单纯穿孔修补术治疗胃十二指肠急性穿孔的临床疗效分析

Simple perforation repair for acute perforation of the stomach or duodenum

目的探讨治疗胃十二指肠急性穿孔的手术方法，选取更合理的手术治疗方式。方法选取2010年8月至2012年8月于我院消化科诊治为急性胃十二指肠溃疡穿孔的患者100例，随机分为两组，每组50例，实验组采用单纯穿孔修补术，对照组采用胃部分切除术。比较两组患者术中出血量、手术时间、住院时间、并发症发生情况、跟踪随访复发情况。结果实验组手术时间、住院时间均较对照组短，且差异有统计学意义（P〈0．05）。实验组术后并发症发生率为6．0％、随访穿孔复发率为2．0％，对照组术后并发症发生率为14．0％、随访穿孔复发率为6．O％，实验组术后并发症发生率、随访穿孔复发率较对照组低，且差异有统计学意义（P〈O．05）。结论单纯穿孔修补术在治疗急性胃十二指肠溃疡穿孔中，大大缩短患者手术及住院时间，降低并发症发生率、穿孔复发率，疗效显著，值得推广应用。

Objeaive To explore the surgical procedures for acute perforation of the stomach or duodenum, and to select more reasonable procedures, Methods 100 patients with acute perforation of the stomach or duodenum in our hospital during August 2010 to August 2012 were randomly divided into two groups, 50 for each group. The study group received simple perforation repair, while the control group received partial gastrectomy Intraoperative bleeding volume, surgieal dura- tion, length of hcspital stay, and incidence tales of psstoperative complications and reccuunenee were compared between the two groups. Reaults Surgical duration and length of hospital slay were shorter in the study gronp than in the conlrel group, with a statislical difference （P〈0.05）. 3he incidence rate of postoperative complications was 6.0% in the study group while14.0% in file control group; file relapse rate of perforation was 2.0% in file study group but 6.0% in file control group. The incidence rates of postoperative comphcalions and recettrrence were lower in file study group than in file control group, with a statistical difference （P〈0.05）. Gonclusions Simple perforation repair for acute perforation of file stomach or duodenum greatly reduces surgical duration and length of hospital stay and effectively decreases rates of compfications and recumence. It is worth popularizing.