急性胃穿孔手术治疗100例疗效分析

Surgical treatment of 100 cases of acute gastric perforation

目的:讨论急性胃穿孔患者采取手术治疗的临床效果。方法:2020年1月-2021年1月收治急性胃穿孔患者100例,根据入院顺序分为两组,各50例。对照组接受胃大部切除术治疗,研究组接受单纯修补术治疗,比较两组治疗效果。结果:研究组术后下床时间、手术时间、胃肠功能恢复时间、住院时间均明显短于对照组,差异有统计学意义(P<0.05);研究组术后并发症发生率明显低于对照组,但术后复发率明显高于对照组,差异有统计学意义(P<0.05)。结论:临床中对急性胃穿孔患者采取单纯修补术治疗,与胃大部切除术比较,术后并发症更少,但术后复发风险较高。临床中需要依照患者的实际病情和病理类型,选择最理想的手术治疗方案。

Objective:To discuss the clinical effect of surgical treatment in patients with acute gastric perforation.Methods:From January 2020 to January 2021,100 patients with acute gastric perforation were selected.According to the order of admission,they were divided into two groups with 50 cases in each group.The control group received subtotal gastrectomy.The study group received simple repair.We compared the therapeutic effects of the two groups.Results:In the study group,the postoperative out of bed time,operation time,gastrointestinal function recovery and hospital stay time were significantly shorter than those in the control group,the difference was statistically significant(P<0.05).In the study group,the incidence of postoperative complications was significantly lower than that in the control group,but the postoperative recurrence rate was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:In clinic,patients with acute gastric perforation are treated with simple repair,compared with subtotal gastrectomy,the postoperative complications are less,but the risk of postoperative recurrence is higher.It is necessary to choose the most ideal surgical treatment scheme according to the actual condition and pathological type of patients.