单纯修补术与胃大部分切除术治疗急性胃穿孔的疗效.docVIP

精品论文 参考文献 单纯修补术与胃大部分切除术治疗急性胃穿孔的疗效 和金昌(云南怒江边防支队卫生队 673100) 　　【摘要】目的：比较分析修补术与胃大部分切除术治疗急性胃穿孔的临床效果。方法：将我院近年来收治的80例急性胃穿孔患者随机分为观察组与参考组，各为40例，分别给予两组患者单纯修补术与胃大部分切除术治疗，观察两组患者平均手术时间、术中出血量、首次下床时间、平均住院时间，同时对两组患者术后并发症发生情况、远期复发率进行比较分析。结果：观察组手术时间、首次下床时间及平均住院时间显著短与参考组（Plt;0.05）；术中出血量显著少于参考组（Plt;0.05），观察组术后并发症发生率明显低于参考组，术后2年内复发率高于参考组（Plt;0.05）。结论：单纯修补术具有手术时间短、手术损伤小，术后患者康复快、并发症少等优势，然而医护人员要严格掌握适应症，选择合适手术方式。 　　【关键词】单纯修补术 胃打大部分切除术 急性胃穿孔 临床效果 　　【中图分类号】R656.6+1 【文献标识码】A 【文章编号】1672-5085（2014）15-0030-02 　　【OBJECTIVE】 A Comparative Analysis of repair and partial gastrectomy acute clinical effects of gastric perforation . Methods: In recent years, the hospital admitted 80 cases of acute gastric perforation were randomly divided into two groups with the reference group , each of 40 cases , the patients were given two simple repair and partial gastrectomy treatment , patients were observed average operative time , blood loss, time to get out of bed for the first time , the average length of hospital stay , and postoperative complications patients were cases , forward recurrence rate were compared. Results: The operative time , bed time and the first time the average length of stay was significantly shorter with the reference group (P lt;0.05); blood loss was significantly less than the reference group (P lt;0.05), the observation group was significantly incidence of postoperative complications lower than the reference group, the recurrence rate within 2 years in the reference group (P lt;0.05). Conclusion: The simple repair with shorter operative time , surgical trauma , faster postoperative recovery , fewer complications and other advantages, however, health care workers should be strictly controlled indications , select the appropriate surgical approach . 　　【Key words】alone repair ; stomach hit most resection; acute gastric perforation ; clinical effects 　　急性胃穿孔是临床常见外科急腹症，多是由胃溃疡引起，部分是由胃癌引起。疾病发生较急且病情危重，患者若不能及时有效的接受治疗，生命可受到较大威胁，因此及时采取有