胃大部切除术治疗胃十二指肠溃疡大出血疗效分析.docVIP

胃大部切除术治疗胃十二指肠溃疡大出血疗效分析 　　[摘要] 目的 探讨胃大部切除术治疗胃十二指肠溃疡大出血的治疗效果。 方法 选择2013年1～12月间我院收治的胃十二指肠溃疡大出血患者86例，按照治疗方法分为观察组和对照组，每组43例，观察组行胃大部切除术治疗，对照组采用保守治疗，比较两组患者的治疗效果。 结果 观察组胃功能恢复时间及住院天数分别为（32.43±2.1）h、（6.8±1.3）d，显著优于对照组的（47.68±4.6）h、（14.7±2.6）d，差异有统计学意义（P0.05）；观察组并发症发生率6.98%，显著低于对照组27.91%，差异有统计学意义（P0.05）；观察组治疗总有效率95.35%，显著优于对照组74.42%，差异有统计学意义（P0.05）；对所有痊愈患者出院后随访24个月，观察组复发率3.85%（1例），显著低于对照组38.46%（5例），差异有统计学意义（P0.05）。 结论 胃十二指肠溃疡大出血患者行胃大部切除术治疗疗效显著，复发率低，值得临床推广。 　　[关键词] 胃大部切除术；胃十二指肠溃疡大出血；并发症 　　[中图分类号] R656.62 [文献标识码] B [文章编号] 1673-9701（2015）14-0041-03 　　[Abstract] Objective To explore treatment efficacy of gastrectomy in treatment of bleeding of gastric ulcer. Methods All 86 patients with bleeding of gastric ulcer were selected in our hospital during January to December 2013 and then divided into two groups according to the treatments， the control group and the observation group， 43 patients in each group. The control group received conservative therapy， while the observation group were treated with gastrectomy. The treatment effect was compared between the two groups. Results The gastric function recovery time and hospital stay of the observation group were （32.43±2.1） h， （6.8±1.3） d， which were significantly better than those in control group [（47.68±4.6） h， （14.7±2.6） d]， and there was statistically significant difference （P0.05）. The complication rate of observation group was 6.98%， which was significantly lower than 27.91% in the control group （P0.05）. The total effective of observation group was 95.35%， which was significantly better than 74.42% in control group（P0.05）. After 24 months follow-up， the recurrence rate of observation group was 3.85%， which was significantly lower than 38.46% in the control group （P0.05）. Conclusion The use of gastrectomy for bleeding of gastric ulcer has a significant effect， low recurrence rate， which is worthy of promotion in clinical. 　　[Key words] Gastrectomy； Stomach ulcer bleeding； Complications 　　胃十二指肠溃疡出血是临床较为常见的急危重症之一，临床多以大出血为第一表现