胃大部切除术治疗急性胃溃疡穿孔的临床应用优势研究.docVIP

胃大部切除术治疗急性胃溃疡穿孔的临床应用优势研究 　　【摘要】 目的：研究胃大部切除术治疗急性胃溃疡穿孔的临床应用优势。方法：选取笔者所在医院2014年1月-2016年1月收治的急性胃溃疡穿孔患者70例为研究对象，根据手术方法不同分为两组，即胃大部切除组和修补术组，每组35例。修补术组采取单纯修补手术治疗，胃大部切除组采取胃大部切除术治疗。就两组患者手术时间、恢复肠鸣音时间、恢复排气时间、住院天数和术后复发率、并发症发生率进行比较。结果：胃大部切除组术后复发率明显低于修补术组，并发症发生率高于修补术组，差异均有统计学意义（P0.05）。结论：胃大部切除术治疗急性胃溃疡穿孔的临床应用效果较好，虽然并发症较多，但可减少术后复发率，只要术中细心操作，可提高手术安全性。 　　【关键词】 胃大部切除术； 急性胃溃疡穿孔； 临床应用优势 　　中图分类号 R656.6 文献标识码 B 文章编号 1674-6805（2016）25-0020-02 　　【Abstract】 Objective：To study the clinical application advantages of subtotal gastrectomy in the treatment of acute gastric ulcer perforation.Method：Seventy cases of acute gastric ulcer perforation in our hospital from January 2014 to January 2016 were selected as the objects and divided into two groups according to the operation methods，35 cases in each group.The repair group was treated with simple repair operation，and the subtotal gastrectomy group was treated with subtotal gastrectomy.The operation time，recovery of bowel sound，exhaust time，hospital stay and postoperative recurrence rate and complication rates between the two groups were compared.Result：The recurrence rate of subtotal gastrectomy group was significantly lower than that of the repair group，the complication rate was higher than the repair group，the differences were statistically significant（P0.05）.Conclusion：The clinical effect of subtotal gastrectomy in the treatment of acute gastric ulcer perforation is better，although there are more complications，but it can reduce the recurrence rate，the safety of operation can be improved as long as paying more attention on the operation. 　　【Key words】 Subtotal gastrectomy； Acute gastric ulcer perforation； Clinical application advantage 　　First-author’s address：The Fifth Hospital Affiliated to Sun Yat-sen University，Zhuhai 519000，China 　　doi：10.14033/j.cnki.cfmr.2016.25.008 　　随着人们饮食结构的改变和生活压力增加，急性胃溃疡发病率逐渐升高，病情进一步发展可出现溃疡穿孔，威胁患者生命安全，需及时治疗。急性胃溃疡穿孔主要采用手术治疗，可根据患者情况采取单纯修补或彻底切除手术[1]。本研究探讨了胃大部切除术治疗急性胃溃疡穿孔的临床优势，现报道如下。 　　1 资料与方法 　　1.1 一般资料