摘要
目的探讨胃大部分切除术急性胃溃疡穿孔的临床疗效及安全性。方法回顾性分析我院2009年2月～2011年4月收治的急性胃溃疡胃穿孔患者40例作为观察组，采用选胃大部切除术；选取同期行单纯修补术治疗急性胃溃疡胃穿孔患者40例作为对照组，比较两组术后溃疡复发率、并发症、住院天数及手术时间等各指标情况。结果观察组患者VisickⅢ级4例，VisickIV3例，对照组患者VisickⅢ级6例，VisickIV7例，二者差异有统计学意义（P〈0．05）；两组患者术后并发症发生率（5％和7．5％）比较，差异无统计学意义（P〉0．05）；观察组与对照组的手术时间与住院天数差异有统计学意义[（2．3±0．5）和（1．2±0．3）h，（7．3±2．4）和（5．1±1．7）d，t=34．617，30．019，P=O．032，0．041]。结论胃大部切除术治疗急性胃穿孔的远期疗效高于单纯胃穿孔修补术，在条件允许和患者知情同意前提下，对急性胃穿孔患者尽可能采用胃大部切除术。
Objective To investigate the clinical efficacy and safety of subtotal gastrectomy in the treatment of acute gastric ulcer perforation. Methods Eighty patients with acute gastric ulcer perforation admitted to our hospital from February 2009 to April 2011 were analyzed retrospectively.The observation group, consisting of 40 patients,received subtotal gastrectomy;The control group,consisting of 40 patients, received simple neoplasty.The postoperative ulcer recurrence rate,complications,hospital stay,operative time and other indicators of the two groups were compared. Results The observation group had 4 patients with grade llI Visick and 3 patients with grade IV Visick,and the control group had 6 patients with grade II Visick and 7 patients with grade IV Visick,with statistically significant difference between the two groups （P 〈 0.05）.The two groups had no statistically significant difference in the incidence of postoperative complications （5% and 7.5%,P 〉 0.05）.The observation group and the control group had statistically significant differences in the operative time and hospital stay [（2.3 ± 0.5） and （1.2± 0.3） hours,（7.3 ± 2.4） and （5.1±1.7） days,t=34.617,30.O19,P=O.032,0.041]. Conclusion Subtotal gastrectomy has better long-term efficacy than simple gastric perforation repair.Under permitting conditions and with informed consent of patients, subtotal gastrectomy should be adopted as far as possible for patients with acute gastric perforation.
出处
《中国医药科学》
2013年第11期180-181,共2页
China Medicine And Pharmacy
