单纯修补术治疗急性胃穿孔的疗效分析.docVIP

单纯修补术治疗急性胃穿孔的疗效分析 　　[摘要] 目的 分析急性胃穿孔患者应用单纯修补术治疗的疗效。 方法 整群选取该院2011年9月―2014年9月收治的急性胃穿孔患者，将其随机分为观察组（36例）和对照组（36例），两组患者分别采用胃部分切除术和单纯修补术，观察其治疗效果。 结果 观察组与对照组手术治疗后，未出现死亡病例，手术治疗均成功，差异无统计学意义（P0.05）。手术时间及术后并发症的发生率，观察组与对照组相比，观察组明显偏少，差异有统计学意义（P0.05）。 结论 急性胃穿孔患者应用单纯修补术治疗，具有明显的优势，但仍需根据患者的实际情况进行合理选择。 　　[关键词] 单纯修补；胃穿孔；胃部分切除 　　[中图分类号] R656.6 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0076-02 　　Analysis of Curative Effect of Simple Neoplasty in Treatment of Acute Perforation of Stomach 　　HAO Cheng 　　Department of General Surgery， Laixi maternal and Child Care Service Centre， Laixi， Shandong Province， 266600 China 　　[Abstract] Objective To analyze the curative effect of the application of simple neoplasty in treatment of patients with acute perforation of stomach. Methods 72 cases of patients with acute perforation of stomach treated in our hospital from September 2011 to September 2014 were selected and randomly divided into two groups with 36 cases in each， the observation group were treated with partial gastrectomy， the control group were treated with simple neoplasty， the treatment effect of the two groups was observed. Results After treatment， both groups had a successful surgery without death cases， the difference was not statistically significant （P0.05）， the surgery time and incidence of postoperative complications in the observation group were lower than those in the control group， and the difference was not statistically significant （P0.05）. Conclusion The simple neoplasty in treatment of patients with acute perforation of stomach had an obvious advantage， however， we still need to make a reasonable choice according to the actual condition of patients. 　　[Key words] Simple neoplasty； Perforation of stomach； Partial gastrectomy 　　急性胃穿孔在临床上比较常见，其发病原因主要包括：高压力、饮食过多、胃溃疡等。该病具有明显的临床症状，诊断比较容易[1]。急性胃穿孔的治疗方法有修补手术治疗、保守治疗和胃部分切除治疗三种[2]。该研究整群选取该院2013年9月―2014年9月收治的72例急性胃穿孔患者为对象，对急性胃穿孔患者应用单纯修补术治疗的疗效进行了分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　研究对象为整群选取的该院收治的72例急性胃穿孔患者，收集时间为2011年9月―2014年9月。