胃大部分切除术与单纯修补术治疗急性胃穿孔的临床疗效观察

Observation of clinical effects by subtotal gastrectomy and single gastrorrhaphy in the treatment of acute gastric perforation

目的探析比较急性胃穿孔患者施行胃大部分切除术与单纯修补术的临床效果。方法 80例手术治疗的急性胃穿孔患者,根据随机数表法分为甲组和乙组,每组40例。甲组患者行胃大部分切除术治疗,乙组患者行单纯修补术治疗,对比分析两组患者的手术情况及术后恢复情况。结果甲组患者手术时间、术中出血量、术后下床活动时间、术后肛门排气时间、住院时间均多于乙组患者,差异具有统计学意义(P<0.05)。甲组患者并发症发生率为5.0%,低于乙组患者的20.0%,差异具有统计学意义(P<0.05)。结论胃大部分切除术与单纯修补术治疗急性胃穿孔的临床效果各有优势,可根据患者的实际情况,选择恰当的手术方式,确保患者治疗效果。

Objective To investigate and compare clinical effects by subtotal gastrectomy and single gastrorrhaphy in the treatment of acute gastric perforation.Methods A total of80patients with acute gastricperforation in surgical treatment were divided by random number table into group A and group B,with40casesin each group.Group A received subtotal gastrectomy for treatment,and group B received single gastrorrhaphyfor treatment.Comparative analysis was made on operation and postoperative rehabilitation condition betweenthe two groups.Results Group A had all higher operation time,intraoperative bleeding volume,postoperativeoff-bed activity time,postoperative anus exhaust time,and hospital stay time than group B,and their differencehad statistical significance(P<0.05).Group A had lower incidence of complications as5.0%than20.0%,andthe difference had statistical significance(P<0.05).Conclusion Subtotal gastrectomy and single gastrorrhaphyrespectively contain their advantages in treating acute gastric perforation.On the basis of practical condition inpatients,selection of operation method can be made to guarantee their curative effect.