急性胃穿孔行单纯修补术与胃大部分切除术的临床分析

The clinical analysis of acute gastric perforation treated by simple closure and subtotal gastrectomy

目的探讨单纯修补术与胃大部分切除术治疗急性胃穿孔的临床效果。方法选取本院收治的90例急性胃穿孔患者,随机分为对照组和治疗组,每组45例。对照组给予胃大部分切除术治疗,治疗组采用单纯修补术治疗。结果治疗组总有效率明显高于对照组,手术时间、术后排气时间、下床活动时间、住院时间明显短于对照组;术中出血量明显少于对照组,围术期不良反应和并发症明显少于对照组,组间差异均有统计学意义(P<0.05)。结论单纯修补术急性胃穿孔临床效果显著,值得推广。

Objective To study the clinical effects of simple closure and subtotal gastrectnmy in treatment of patients with acute gastric perforation. Methods 90 patients with acute gastric perforation were selected and evenly divided into control group and treatment group. In the control group, the subtotal gastrectomy was applied; while in the treatment group, the simple closure was adopted. Results The total effective rate of the treatment group were obviously superior to that in the control group. The operation time, postoperative gas exhaust time, postoperative activity time, hospital stay were remarkably shorter than those in the control group. The amount of intraoperative blood loss was lower than that in the control group. In addition, the adverse reaction and complication were less than the control group, the differences were all significant （P〈0.05）. Conclusion Application of simple closure in the treatment of patients with acute gastric perforation can obtain a remarkable clinical therapeutic effect, is worthy of application.