单纯修补术治疗急性胃穿孔的临床研究

Clinical Studies on Acute Gastric Perforation Treated by Simple Neoplasty

目的研究单纯性修补术治疗急性胃穿孔的临床疗效和安全性。方法回顾性分析2010年1月至2012年12月采用单纯修补术治疗的48例急性胃穿孔患者的临床资料,并以同期46例采用胃大部切除术治疗的急性胃穿孔患者的临床资料,比较两组治疗效果。结果观察组患者术中出血量低于对照组,观察组患者手术时间、术后排气时间和术后住院时间均明显低于对照组,组间比较差异具有统计学意义(P<0.05),观察组手术并发症发生率低于对照组,组间比较差异具有统计学意义(P<0.05)。结论单纯性修补术治疗急性胃穿孔手术时间短,患者术后恢复快,可满足临床治疗需求。

Objective To study the clinical efficacy and safety of simple neoplasty in the treatment of acute gastric perforation. Methods Retrospective analysis from January 2010 to December 2010, using simple neoplasty treatment of 48 cases of acute gastric perforation clinical data, and the same period in 46 patients with subtotal gastrectomy treatment of acute gastric perforation in patients with clinical data to the control group, compared two groups of therapeutic effect. Results Observation group of patients intraoperatie blood loss is lower than the control group and observation group of patients operation time, postoperative exh^mst time and postoperative hospital stay were significantly lower than the control group, there was a statistical significance difference between the two groups （P〈0.05）; observation group complications incidence rate is lower than the control group, there was a statistical significance difference between the two groups （P〈0.05）. Conclusions Simple neoplasty treatment of acute gastric perforation shorter operation time, postoperative patients recovery fast, can meet the demand of clinical treatment.