胃大部切除术与单纯穿孔修补术治疗胃十二指肠溃疡穿孔的临床疗效分析

发布时间：2018-01-02 18:04

本文关键词：胃大部切除术与单纯穿孔修补术治疗胃十二指肠溃疡穿孔的临床疗效分析　出处：《中国实用医药》2016年31期 　论文类型：期刊论文

【摘要】：目的比较分析采用胃大部切除术与单纯穿孔修补术治疗胃十二指肠溃疡急性穿孔的临床效果。方法 100例行胃十二指肠溃疡急性穿孔的患者,随机分为对照组和观察组,各50例。对照组患者给予胃大部切除术治疗,观察组患者给予单纯穿孔修补术的治疗方案,比较两组治疗后的临床疗效。结果观察组总有效率显著高于对照组,差异有统计学意义(P0.05)。观察组手术时间(40.7±6.9)min,术中出血量(73.8±15.3)ml,术后下床活动时间(12.5±1.6)h及平均住院时间(5.69±0.86)d,均优于对照组的(53.1±3.0)min、(120.9±19.7)ml、(24.3±2.4)h、(8.17±0.58)d,差异有统计学意义(P0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P0.05);两组患者溃疡复发率比较差异无统计学意义(P0.05)。结论采用单纯穿孔修补方案治疗胃十二指肠溃疡急性穿孔治疗效果比胃大部切除术的治疗效果更佳,值得尝试。
[Abstract]:Objective to compare the clinical effects of subtotal gastrectomy and simple perforation repair in the treatment of acute perforation of gastroduodenal ulcer. The patients in the control group were treated with subtotal gastrectomy and the patients in the observation group were treated with simple perforation repair. Results the total effective rate of the observation group was significantly higher than that of the control group, the difference was statistically significant (P 0.05). The operation time of the observation group was 40.7 卤6.9 minutes. The blood loss was 73.8 卤15.3ml, the time of getting out of bed was 12.5 卤1.6 hours and the average hospitalization time was 5.69 卤0.86 days. It was better than that of the control group (53.1 卤3.0 min, 120.9 卤19.7ml, 24.3 卤2.4 h, 8.17 卤0.58 d). The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant. There was no significant difference in the recurrence rate of ulcer between the two groups (P0.05). Conclusion simple perforation repair is more effective than subtotal gastrectomy in the treatment of acute perforation of gastroduodenal ulcer. It's worth trying.
【作者单位】：普宁华侨医院外三科;
【正文快照】： 近年来,随着生活水平的提高,饮食方式以及生活习惯的变化,发现胃溃疡的发病率呈逐渐增长趋势,胃溃疡如治疗不及时或不彻底,常常导致如梗阻、穿孔等多种并发症的出现,对患者生命安全造成威胁[1]。治疗胃十二指肠溃疡的方式主要是手术治疗。本院特选取100例胃十二指肠溃疡急性穿

【相似文献】