胃大部切除术治疗胃十二指肠溃疡大出血的效果分析  

Effect analysis of subtotal gastrectomy for massive gastroduodenal hemorrhage

作　　者：张鹏[1] ZHANG Peng(Department of General Surgery,Shenyang 242 Hospital,Shenyang 110034,China)

机构地区：[1]沈阳二四二医院普外科,110034

出　　处：《中国现代药物应用》2020年第15期21-23,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析胃十二指肠溃疡大出血患者行胃大部切除术治疗的临床效果。方法70例胃十二指肠溃疡大出血患者,采用随机数字表法分为研究组和对照组,每组35例。对照组实施常规修补术治疗,研究组实施胃大部切除术治疗。比较两组术后随访情况和术后Visick分级情况。结果研究组切口感染率2.86%、内镜溃疡复发率0和溃疡症状复发率14.29%均低于对照组的20.00%、11.43%、37.14%,差异有统计学意义(P<0.05)。研究组术后Visick分级优于对照组,差异有统计学意义(P<0.05)。结论胃大部切除术治疗胃十二指肠溃疡大出血的效果较佳,可有效降低切口感染率、内镜溃疡复发率和溃疡症状复发率。Objective To analyze the clinical effect of subtotal gastrectomy for massive gastroduodenal hemorrhage.Methods A total of 70 patients with massive gastroduodenal hemorrhage were divided into research group and control group by random numerical table,with 35 cases in each group.The control group was treated by conventional repair,and the research group was treated by subtotal gastrectomy.The postoperative follow-up and Visick grading situation of the two groups was compared.Results The incision infection rate 2.86%,endoscopic ulcer recurrence rate 0 and ulcer symptom recurrence rate 14.29%of the research group was lower than that of the control group 20.00%,11.43%and 37.14%,and the difference was statistically significant(P<0.05).The postoperative improved Visick grading of the research group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Subtotal gastrectomy shows good effect for massive gastroduodenal hemorrhage,which can effectively lower incision infection rate,endoscopic ulcer recurrence rate and ulcer symptom recurrence rate.

关 键 词：胃大部切除术 胃十二指肠溃疡 大出血 效果分析 

分 类 号：R656.62[医药卫生—外科学]