不同手术时机对急性胃十二指肠溃疡穿孔修补术患者并发症的影响分析

Effective analysis of different timing of surgery for complications in patients undergoing gastric perforation repair

目的：探讨不同手术时机的选择对急性胃十二指肠溃疡穿孔修补术患者术后并发症的影响。方法：筛选行急性胃十二指肠溃疡穿孔修补术治疗的患者68例,作为研究对象。根据手术时机的选择将其分为早期组（〈6 h）22例,中期组（6~12 h）24例,晚期组（〉12 h）22例,采集两组患者行胃十二指肠穿孔修补术后的肠功能恢复时间及术后并发症发生率。结果：肠功能恢复时间比较中以早期组恢复时间最短,与中晚期组比较存在显著差异,且晚期组恢复时间高于中期组,差异有统计学意义（P〈0.05）;早期组患者共发生3例术后并发症,中期组7例,晚期组13例,三组比较,差异有统计学意义（P〈0.05）,且以早期组并发症发生率最低。结论：对于急性胃十二指肠溃疡穿孔患者应在早期及时进行修补术进行治疗,可显著缩短患者胃肠功能恢复时间,降低术后并发症发生率,具有一定的临床参考价值。

Objective To investigate the effects of different timing of surgery for gastric perforation repair of acute perforated gastric or du- odenal ulcer patients in patients with postoperative complications. Method 68 cases of gastric perforation repair patients were screened as the research object. Patients would be divided into the early group （ 〈6 h） 22 cases,interim group （6 - 12 h） 24 cases,late group （ 〉 12 h） 22 cases. Acquisition of patients with gastric and duodenum perforation postoperative intestinal function recovery time and postoperative compli- cation rate. Results Comparison of intestinal function recovery time in three groups, the early group recovery time was shortest, and comparing with the mid -late group was significantly different, and the late group of recovery time was higher than the interim set （P 〈 0. 05 ） ;a total of 3 eases of postoperative complications in patients with early group, interim group had 7 cases, 13 eases of late group, comparing with three groups were significantly different （ P 〈 0. 05 ）, and the early group with the lowest incidence of complications. Conclusion The patients should be early for repair and timely repair in treatment of acute perforated gastroduodenal ulcer,which can significantly shorten the recovery time of patients with gastrointestinal function and reduce the incidence of postoperative complications, it has some clinical reference value.