不同术式治疗急性胃穿孔的临床效果观察  

Clinical effect of different surgical treatment for acute gastric perforation

作　　者：黄邵斌[1] 蒲群旺 易彦博[1] 罗明[1] 邹彬 Huang Shaobin;Pu Qunwang;Yi Yanbo;Luo Ming;Zou Bin(The Central Hospital of Changsha City(Hunan)410004)

机构地区：[1]长沙市中心医院,湖南410004

出　　处：《中国社区医师》2018年第30期63-64,共2页Chinese Community Doctors

摘　　要：目的:探讨不同手术方式治疗急性胃穿孔的临床效果。方法:收治急性胃穿孔患者89例,分为对照组和观察组,对照组45例,观察组44例。分别采用胃部分切除术、单纯修补术治疗,比较两组临床治疗效果。结果:观察组治疗总有效率明显高于对照组(P<0.05),观察组手术时间、术中出血量、胃功能恢复时间、住院时间等手术治疗指标均要明显优于对照组(P<0.05)。结论:胃部分切除术和单纯修补术均可以应用于急性胃穿孔的治疗中,但单纯修补术的整体治疗效果更好。Objective:To explore the clinical effect of different surgical treatment for acute gastric perforation.Methods:89 patients with acute gastric perforation were selected,they were divided into the control group and the observation group,the two groups were treated with partial gastrectomy and simple repair respectively,we compared the clinical efficacy of the two groups.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).The operation time,intraoperative bleeding volume,gastric function recovery time and hospitalization time of the observation group were significantly better than those of the control group(P<0.05).Conclusion:Both partial gastrectomy and simple repair can be used in the treatment of acute gastric perforation,but the overall effect of simple repair was better.

关 键 词：手术治疗 急性胃穿孔 效果 

分 类 号：R656.6[医药卫生—外科学]