胃穿孔修补术采用尼龙绳及双臂钳治疗的临床效果及复发性

Clinical efficacy and recurrence of treatment of gastric perforation with nylon cord and double-arm clamp

目的:探讨胃穿孔修补术采用尼龙绳及双臂钳治疗的临床效果及复发性。方法:采用回顾性方法分析将收治的42例急性胃穿孔患者的临床资料,根据手术方式的不同,将其随机分为对照组(21例,给予胃部分切除术治疗)与观察组(21例,37.45±8.29给予用尼龙绳及双臂钳的胃穿孔修补术),比较两组患者手术时间、下床活动时间、胃肠功能恢复、住院时间、术中出血量及其不良反应、复发情况。结果:Visick分级在两组间差异具有统计学意义(P<0.05),其中观察组的治疗有效率为90.5%,高于对照组的76.2%,差异具有统计学意义(P<0.05);观察组的手术时间、下床活动时间、术中出血量、胃肠功能恢复、住院时间等均低于对照组相应指标,其差异有统计学意义(P<0.05);观察组不良事件发生率为23.81%。对照组为19.05%。两组差异没有统计学意义(P>0.05)。观察组复发率为23.81%,对照组复发率为4.76%,两组经统计学分析,差异没有统计学意义(P<0.05)。结论:胃穿孔修补术采用尼龙绳及双臂钳治疗可缩短手术、住院时间,促进胃肠功能恢复,但有较高复发率,应根据患者实际情况合理选择手术方式。

Objective:To investigate the clinical effect and recurrence of gastric perforation repair with nylon rope and double arm forceps.Methods:the clinical data of 42 patients with acute gastric perforation in our hospital from February 2015-2018 February were analyzed retrospectively.According to the different surgical methods,they were randomly divided into control group(21 cases,partial gastric resection)and observation group(21 cases,37.45+8.29 with nylon rope and double arm forceps."The operation time of the two groups,the time of the movement of the bed,the recovery of the gastrointestinal function,the time of hospitalization,the amount of bleeding in the operation,the adverse reaction and the recurrence of the patients were compared.Results:the difference between the two groups was statistically significant(P<0.05),and the effective rate of the observation group was 90.5%,which was higher than that of the control group(76.2%),and the difference was statistically significant(P<0.05).The operation time of the observation group,the time of the ambulation,the amount of bleeding in the operation,the recovery of gastrointestinal function,and the time of hospitalization were all lower than those of the two groups.The corresponding indexes in the control group were statistically significant(P<0.05),and the incidence of adverse events in the observation group was 23.81%.The control group was 19.05%.The difference between the two groups was statistically significant(P>0.05).The recurrence rate in the observation group was 23.81%,and the recurrence rate in the control group was 4.76%.The difference between the two groups was statistically significant(P<0.05).Conclusion:the repair of gastric perforation with nylon rope and double arm forceps can shorten the operation,the time of hospitalization,and promote the recovery of gastrointestinal function,but there is a high recurrence rate.The operation mode should be selected according to the actual situation of the patients.