单纯修补术与胃大部切除术治疗急性胃穿孔临床效果探讨

Clinical effect on simple repair and subtotal gastrectomy in the treatment of acute gastric perforation

目的:探讨单纯修补术或胃大部切除术治疗急性胃穿孔的效果。方法:收治急性胃穿孔患者82例,随机分为治疗组与对照组,各41例。治疗组给予单纯修补术治疗,对照组采用胃大部切除术治疗。结果:两组手术时间、术中出血量、肛门排气时间及住院时间差异有统计学意义(P<0.05);治疗组复发率高于对照组(P<0.05)。结论:对于急性胃穿孔,单纯修补术可有效减少创伤、恢复较快,而胃大部切除术则复发少。

Objective:To investigate the effect of simple repair or subtotal gastrectomy in the treatment of acute gastric perforation.Methods:82patients with acute gastric perforation were randomly divided into the treatment group and the control group with41cases in each group.The treatment group were treated with simple repair,and the control group were treated with subtotal gastrectomy.Results:The operation time,blood loss,anal exhaust time and length of hospital stay between groups were statistically significant(P<0.05);the recurrence rate of the treatment group was higher than that of the control group(P<0.05).Conclusion:For acute gastric perforation,simple repair can effectively reduce trauma and recover faster,while subtotal gastrectomy has less recurrence.