胃大部切除术与单纯修补术治疗急性胃穿孔临床效果比较  

Comparison of the clinical effect of gastrectomy and simply repair in the treatment of acute gastric perforation

作　　者：李贵生 

机构地区：[1]山西省屯留县中医院外科,046100

出　　处：《中国基层医药》2014年第13期2001-2003,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 比较胃大部切除术与单纯修补术治疗急性胃穿孔的临床疗效.方法 132例急性胃穿孔患者按数字表法随机分为对照组66例和观察组66例,对照组采用胃大部切除术治疗,观察组采用单纯修补术治疗,观察两组患者的临床疗效、临床指标及溃疡复发Visick分级.结果 观察组总有效率（87.9％）明显高于对照组（71.3％）（χ2=5.634,P＜0.05）;观察组手术时间、开始下床活动时间、胃肠功能恢复时间及住院时间分别为（38.76±6.23） min、（4.26±1.67）d、（28.68±4.74）h、（11.52±2.32）d,对照组手术时间、开始下床活动时间、胃肠功能恢复时间及住院时间分别为（72.13±10.78） min、（10.01±2.21）d、（45.61±5.69）h、（25.65±3.95）d,两组差异均有统计学意义（=21.773、25.059、18.572、16.864,均P＜0.01）;观察组复发率（4.6％）明显低于对照组（15.2％） （χ2 =4.181,P＜0.05）.结论 单纯修补术治疗急性胃穿孔临床疗效明显,能有效降低临床指标,减少患者术后复发率,具有重要的临床应用价值.Objective To investigate the clinical efficacy of gastrectomy and simple repair in the treatment of acute gastric perforation.Methods 132 patients with acute gastric perforation were randomly divided into the control group and observation group by random number table,66 cases in each group.The control group received gastrectomy,the observation group was given simple repair treatment.The clinical efficacy,clinical indicators and ulcer recurrence Visick grading of patients in two groups were observed.Results The total effective rate of the observation group （87.9%） was significantly higher than that in the control group（71.3%） （χ2 =5.634,P 〈 0.05）.The operative time,bed time,gastrointestinal function recovery time and hospitalization time in the observation group were （38.76 ± 6.23） min,（4.26 ± 1.67） d,（28.68 ± 4.74） h,（11.52 ± 2.32） d,those in the control group were （72.13 ± 10.78） min,（10.01 ± 2.21） d,（45.61 ± 5.69） h,（25.65 ± 3.95） d,there were statistically significant differences between the two groups（t =21.773,25.058,18.572,16.863,all P 〈 0.01）.The relapse rate in the observation group （4.6%） was significantly lower than that in the control group （15.2 %） （χ2 =4.181,P 〈 0.05）.Conclusion The simple repair in the treatment of acute gastric perforation has significant effect,it can effectively reduce the value of clinical parameters and the recurrence rate of patients,which has important clinical application value.

关 键 词：胃切除术 修补手术 外科 胃破裂 病例对照研究 

分 类 号：R656.61[医药卫生—外科学]