胃十二指肠急性穿孔不同诊治方法的治疗效果观察

Therapeutic Effect of Different Methods for Diagnosis and Treatment of Acute Perforation of Stomach and Duodenum

目的分析胃十二指肠急性穿孔者不同诊治方法,其临床治疗效果差异。方法将以我院2015年9月至2017年4月期间急诊收治的76例胃十二指肠急性穿孔者为本次观察对象,按病床单双号分组,每组人数38例,观察组行修复手术治疗、对照组开腹胃切除治疗,观察不同术式手术、术后恢复情况,组间对比术后并发症、疾病复发情况。结果观察组住院、手术用时短,P<0.05;观察组并发症少、复发率高,P<0.05。结论穿孔修补术手术时间、术后恢复、并发症方面具有优势,胃切除术在降低溃疡、穿孔复发方面较好。

Objective Analysis of different methods of diagnosis and treatment of acute perforation of the gastroduodenal,the clinical treatment of the difference.Method Sixty-six cases of acute perforation of the stomach and duodenum received emergency treatment in our hospital from 2015.9 to 2017.4 will be the subject of this observation.According to the double number of sick bed sheets,there were 38 cases in each group.The observation group underwent surgical treatment and the control group underwent abdominal gastrectomy.The surgical operations and postoperative recovery were observed.The postoperative complications and disease recurrence were compared between groups.Result The observation group had short hospitalization and surgery,P<0.05;the observation group had less complications and high recurrence rate,P<0.05.Conclusion Perforation repair has advantages in terms of operation time,postoperative recovery and complications,and gastrectomy is better in reducing ulcers and recurrence of perforation.