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目的探讨胃大部分切除术与单纯修补术治疗急性胃穿孔临床疗效及安全性。方法选择2009年2月-2011年5月我院收治的94例急性胃穿孔患者,按治疗方法分为观察组与对照组各47例。观察组实施单纯修补术,对照组实施胃大部分切除术,比较两组术后溃疡复发率、并发症、住院天数及手术时间等各指标情况。结果全部病例经过治疗后均痊愈。观察组术后并发症发生率、住院天数及手术时间等各指标均优于对照组,差异有统计学意义(P<0.05)。两组术后溃疡复发情况无显著性差异(P>0.05)。结论对于急性胃穿孔,单纯修补术式创伤小,并发症少,优于胃大部分切除术式,值得进一步推广应用。
Objective To investigate the clinical efficacy and safety of most resection of stomach and simple repair in the treatment of acute gastric perforation. Methods From February 2009 to May 2011, 94 patients with acute gastric perforation admitted to our hospital were divided into observation group and control group according to the method of treatment, 47 cases each. The observation group was treated with simple repair, while the control group was treated with most resection of the stomach. The ulcer recurrence rate, complications, length of hospital stay and operation time were compared between the two groups. Results All cases were cured after treatment. The incidence of postoperative complications, length of hospital stay and operation time in the observation group were all better than those in the control group (P <0.05). There was no significant difference between the two groups in the recurrence of ulcer (P> 0.05). Conclusions For acute gastric perforation, simple repair surgery trauma, fewer complications, better than the majority of gastric resection, it is worth further promotion and application.