采用胃大部切除术治疗急性胃溃疡穿孔的效果及临床评价

Effect and clinical evaluation of subtotal gastrectomy in the treatment of acute gastric ulcer perforation

目的探讨采用胃大部切除术治疗急性胃溃疡穿孔的效果。方法选取2018年2月至2020年2月本院收治的急性胃溃疡穿孔患者90例作为研究对象,按照随机数字表法分为两组,各45例。对照组采用单纯修补术治疗,观察组采用胃大部切除术治疗,比较两组术后恢复情况、手术时间、术中出血量、胃肠功能恢复时间、排气时间、住院时间、并发症发生率及复发率。结果术后恢复情况,观察组Ⅰ级明显高于对照组,Ⅲ级、Ⅳ级明显低于对照组(P<0.05);两组Ⅱ级比较差异无统计学意义。观察组手术时间、胃肠功能恢复时间、排气时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。观察组并发症发生率及复发率均低于对照组(P<0.05)。结论采用胃大部切除术治疗急性胃溃疡穿孔效果显著,可缩短手术时间,促进患者尽快恢复,还可减少出血量,降低复发率与相关并发症的发生率。

Objective To investigate the effect of subtotal gastrectomy in the treatment of acute gastric ulcer perforation. Methods 90 patients with acute gastric ulcer perforation admitted to our hospital from February 2018 to February 2020 were selected as the research subjects, and they were divided into two groups according to the random number table method, with 45 cases in each group. The control group was treated with simple repair surgery, and the observation group was treated with subtotal gastrectomy. The postoperative recovery, operation time, intraoperative blood loss,gastrointestinal function recovery time, exhaust time, hospitalization time, and complications rate and recurrence rate were compared between the two groups. Results The postoperative recovery status gradeⅠ of the observation group was significantly higher than that of the control group, and grades Ⅲ and Ⅳ were significantly lower than those of the control group(P<0.05);there was no statistically significant difference in grade Ⅱ between the two groups. The operation time, gastrointestinal function recovery time, exhaust time, and hospitalization time in the observation group were shorter than those in the control group, and intraoperative blood loss was less than that in the control group(P<0.05). The complication rate and recurrence rate of the observation group were lower than those of the control group(P<0.05). Conclusion The use of subtotal gastrectomy for the treatment of acute gastric ulcer perforation is effective, which can shorten the operation time, promote the patients’ recovery as soon as possible,and also reduce the amount of bleeding, reduce the recurrence rate and the occurrence of related complications.