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目的探讨穿刺引流治疗胃十二指肠溃疡急性穿孔的临床疗效。方法 2010年1月至2011年12月我院共收治胃十二指肠溃疡急性穿孔患者65例,其中24例患者选择穿刺引流治疗(穿刺组),41例患者选择手术治疗(手术组),比较两组患者的治疗效果。结果穿刺组手术时间明显低于手术组(P<0.05),两组在住院时间和肛门排气时间方面差异无统计学意义(P>0.05);穿刺组患者术后无并发症出现,无患者中转手术,手术组患者有1例出现术后感染,1例吻合口瘘,并发症发生率为0.49%。结论穿刺引流治疗胃十二指肠溃疡急性穿孔操作简单、创伤小、疗效可靠,值得推广应用。
Objective To investigate the clinical effect of puncture and drainage on acute perforation of gastroduodenal ulcer. Methods From January 2010 to December 2011, 65 cases of acute gastroduodenal ulcer perforation were treated in our hospital. Among them, 24 cases were treated by puncture and drainage (puncture group), 41 cases were treated by surgery (surgery group) The treatment effect of two groups of patients was compared. Results The operation time of the puncture group was significantly lower than that of the operation group (P <0.05). There was no significant difference between the two groups in the length of hospital stay and the time of anal exhaust (P> 0.05). No postoperative complications occurred in the puncture group, In the transurethral operation, one patient in the operation group had postoperative infection, one was anastomotic fistula, and the complication rate was 0.49%. Conclusion Puncture and drainage for the treatment of acute gastroduodenal ulcer perforation is simple, less invasive and reliable, which is worth popularizing and applying.