胃十二指肠急性穿孔46例临床诊疗分析

Analysis of the clinical diagnosis and treatment of acute perforation stomach duodenum in 46 cases

目的:探讨胃十二指肠急性穿孔的临床诊疗效果。方法:收治胃十二指肠急性穿孔患者46例,随机分成胃大部切除术组16例和穿孔修补术组30例,胃大部切除术组行胃大部切除术,穿孔修补术组行单纯穿孔修补术。对两组患者的疗效进行比较。结果:穿孔修补术组手术时间、住院时间明显短于胃大部切除术组(P<0.05),穿孔修补术组并发症发生率明显低于胃大部切除术组(P<0.05)。结论:手术治疗胃十二指肠急性穿孔是首选的治疗方法,其中穿孔修补术具有手术时间短,恢复快,并发症少等优点。

Objective:To explore the clinical diagnosis and treatment effect of acute perforation stomach duodenum.Methods:46 patients with acute perforation stomach duodenum were selected.They were randomly divided into the subtotal gastrectomy group with 16 cases and the perforation repair group with 30 cases.The subtotal gastrectomy group was given subtotal gastrectomy.The perforation repair group was given simple perforation repair.The curative effects of two groups were compared.Results:The operation time and hospital stay of the perforation repair group were significantly shorter than those of the subtotal gastrectomy group(P<0.05).The complication incidence rate of the perforation repair group was significantly lower than that of the subtotal gastrectomy group(P<0.05).Conclusion:The operative treatment of acute perforation stomach duodenum is the preferred treatment, and the perforation repair has the advantages of short operation time,quick recovery and less complications.