胃大部分切除术与单纯修补术治疗急性胃穿孔的临床疗效观察  

Clinical observation of subtotal gastrectomy and simple repair in the treatment of acute gastric perforation

作　　者：黄旭东 HUANG Xu-dong(Liaoyang Second People's Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市第二人民医院,111000

出　　处：《中国现代药物应用》2023年第7期40-42,共3页Chinese Journal of Modern Drug Application

摘　　要：目的比较单纯修补术与胃大部分切除术治疗急性胃穿孔的疗效。方法100例急性胃穿孔患者,随机分为实验组与对照组,每组50例。实验组患者采取单纯修补术治疗,对照组患者选择胃大部分切除术治疗。对比两组患者的手术指标(包括手术时间、术中出血量、下床活动时间、住院时间)。结果实验组患者的手术时间(48.6±11.2)min、下床活动时间(28.4±4.2)h、住院时间(8.3±2.4)d短于对照组的(86.1±12.3)min、(66.1±4.3)h、(16.4±2.1)d,术中出血量(81.6±12.5)ml少于对照组的(114.3±15.3)ml,差异具有统计学意义(P<0.05)。结论单纯修补术治疗急性胃穿孔的疗效比较显著,且患者治疗后并发症比较少,进一步提升了患者的生活质量。Objective To compare the efficacy of subtotal gastrectomy and simple repair in the treatment of acute gastric perforation.Methods A total of 100 patients with acute gastric perforation were randomly divided into experimental group and control group,with 50 cases in each group.Patients in the experimental group were treated by simple repair,and patients in the control group were treated by subtotal gastrectomy.The surgical indexes(including operative time,intraoperative blood loss,off-bed activity time and hospitalization time)in the two groups were compared.Results The operative time(48.6±11.2)min,off-bed activity time(28.4±4.2)h,and hospitalization time(8.3±2.4)d in the experimental group were shorter than(86.1±12.3)min,(66.1±4.3)h,and(16.4±2.1)d in the control group;the intraoperative blood loss(81.6±12.5)ml in the experimental group was less than(114.3±15.3)ml in the control group;the differences were statistically significant(P<0.05).Conclusion The efficacy of simple repair for acute gastric perforation is significant,and the complications of patients after treatment are relatively less,and the quality of life of patients has been improved.

关 键 词：胃大部分切除术 单纯修补术 急性胃穿孔 

分 类 号：R656.61[医药卫生—外科学]