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目的讨论单纯修补术与胃大部分切除术治疗急性胃穿孔的临床效果。方法济源市肿瘤医院选取80例胃十二指肠溃疡急性穿孔患者作为研究对象,在严格掌握禁忌证及适应证的基础上,随机将患者分成A组(单纯修补术组)与B组(胃大部分切除术组)进行治疗,后进行统计及观察比较各组患者的住院时间、手术时间、术后并发症、并发率等临床治疗情况。结果 80例患者经过手术治疗后全部痊愈。其中A组患者在住院时间、手术时间方面均明显低于B组,差异有统计学意义(P<0.05);但在术后并发症方面A组患者却明显高于B组,差异有统计学意义(P<0.05)。结论急性胃穿孔患者应早期诊断,尽早行手术治疗,单纯修补术与胃大部分切除术治疗各有优缺点,医生应综合评估患者的病情,为其选择最为适合的手术方式,才能取得较好的治疗效果,真正提高患者术后生存质量。
Objective To discuss the clinical effect of simple repair and partial gastrectomy in the treatment of acute gastric perforation. Methods Totally 80 patients with acute gastroduodenal ulcer perforation were selected as study subjects. On the basis of strict contraindications and indications, patients were randomly divided into group A (simple repair group) and group B Most of the resection group) for treatment, after the statistics and observation of patients in each group of hospital stay, operation time, postoperative complications, the incidence of complications such as clinical treatment. Results 80 patients recovered completely after surgery. The patients in group A were significantly lower in hospitalization and operation time than those in group B (P <0.05), but the postoperative complications were significantly higher in group A than in group B, the difference was statistically significant Significance (P <0.05). Conclusions Patients with acute gastric perforation should be diagnosed early. Surgical treatment should be carried out as soon as possible. Simple repair and partial resection of stomach have their own advantages and disadvantages. Doctors should comprehensively evaluate the patient’s condition so that they can choose the most appropriate surgical method, The treatment effect, truly improve the quality of life of patients after surgery.