急性胃穿孔患者手术治疗分析

Analysis of Surgical Treatment of Patients With Acute Gastric Perforation

目的：进一步探究急性胃穿孔患者手术治疗效果。方法收集了2013年3月～2014年3月我院收治的48例急性胃穿孔患者临床资料进行详细研究，将上述患者随机分为两组，24例对照组患者接受单纯穿孔缝合术治疗，24例研究组患者接受胃大部切除手术治疗。结果研究组患者并发症发生率（8.3%）低于对照组（33.3%），P〈0.05，具有差异统计学意义。对照组患者平均住院时间（10.3±1.5d）与研究组（9.8±2.4d）相比，无差异性，P〉0.05。研究组患者复发率低于对照组，P〈0.05，具有差异统计学意义。结论胃大部切除手术治疗急性胃穿孔的临床效果确切，能降低并发症发生率与复发率。

Objective Surgical treatment effect to patients with acute gastric perforation is to be investigated fatherly. Methods Reviewed and analyzed clinical treatment data,and selected from 48 patients with acute gastricperforation who were treatedin hospital from March 2013 to March 2014,and separatedthesepatients into two groups at random,24 patients in control groupwere givensimple suture treatment,while 24 patients in study groupwere given gastrectomy operation treatment.Results Complication incidence in study group（9%）was quite lower than that（33.3%）in control group,there was a treatment differential between two groups,and such a differential had statistic value （P〈0.05）. But,with regarding topatients’hospitalization days on average,there was no difference between control group（10.3±1.5d） and study group（9.8±2.4d）,and such a differential has no statistic value（P〉0.5）. Besides,illness reoccurrence in study groupwas quite lower than that in control group,there was a treatment differential between two groups,and such a differential had statistic value（P〈0.05）. Conclusion Gastrectomy operation is quite effective to curepatients with acute gastric perforation,it is conducive to reducing complication incidence as well as illness reoccurrenceprobability.