单纯修补术与胃大部分切除术治疗急性胃十二指肠球部溃疡穿孔临床疗效对比分析.docVIP

单纯修补术与胃大部分切除术治疗急性胃十二指肠球部溃疡穿孔临床疗效对比分析 　　doi：10.3969/j.issn.1007-614x.2014.15.34 　　摘 要 目的：探究单纯修补术与胃大部分切除术治疗急性胃、十二指肠球部溃疡穿孔的临床治疗效果。方法：82例急性胃穿孔患者分成对照组和试验组，分别使用胃大部分切除术、单纯修补术进行治疗，然后观察两组患者的住院时间及临床疗效等。结果：试验组的手术时间明显比对照组短（P0.05），此外，手术成功率、术后并发症、临床疗效均优于对照组（P0.05），差异存在统计学意义。结论：把单纯修补术应用在急性胃、十二指肠球部溃疡穿孔的临床治疗中，手术成功率较高，而且手术时间及住院时间都较胃大部分切除术短，此外，还具有并发症发生率低等优点，可更加有效地促进患者康复。 　　关键词 急性胃、十二指肠球部溃疡穿孔 单纯修补术 胃大部分切除术 临床疗效 对比分析 　　Comparison of simple repair and partial gastrectomy in the treatment of acute perforated duodenal ulcer 　　Lin Rujing 　　The Peoples Hospital of Binyang County，Guangxi 530400 　　Abstract Objective：To explore the clinical therapeutic effect of simple repair and partial gastrectomy in the treatment of acute perforated duodenal ulcer.Methods：82 patients with acute perforation of stomach were divided into the control group and the experimental group.They were treated with subtotal gastrectomy and simple repair respectively，then we observed the hospitalization of two groups of patients and clinical effect.Results：Operation time of the experimental group was significantly shorter than the control group（P0.05），in addition，the success rate of operation，postoperative complications and the clinical efficacy were better than the control group（P0.05）.There were statistical significance in the difference.Conclusion：The application of simple repair in the treatment of acute gastric，duodenal ulcer perforation can improve the success rate of operation，and the operation time and hospitalization time were shorter than subtotal gastrectomy.In addition，it also has the advantage of low complication rate，and it can effectively promote the rehabilitation of patients. 　　Key words Acute gastric，duodenal ulcer perforation；Simple repair；Partial gastrectomy；Clinical therapeutic effect；Comparative analysis 　　急性胃、十二指肠球部溃疡穿孔是外科临床中比较常见的急腹症，其主要因暴饮暴食、上消化道消化性溃疡以及不规范使用非甾体抗炎药物而导致，此外，胃癌患者中，也会出现此病，发病后，如果没有及时采取相应措施进行有效治疗，患者的生命安全就会受到严重威胁，因此，必须对此病的诊断及治疗引起重视[1]。本研究结合本人的临床实践，主要就单纯修补术和胃大部分切除术对急性胃、十二指肠球部溃疡穿孔的临