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目的探讨十二指肠溃疡急性穿孔的手术治疗效果。方法选取我院2002年1月-2010年12月十二指肠溃疡急性穿孔患者96例,按手术方式分为胃切除术组和单纯穿孔缝合术组,对两组手术过程和效果进行对比分析。结果胃切除术的患者在复发率上优于单纯穿孔缝合术患者,但手术时间上劣于单纯穿孔缝合术组(P<0.05)。结论手术治疗是十二指肠溃疡急性穿孔的有效途径,正确的手术方案及综合全面治疗可以显着改善十二指肠溃疡穿孔患者的预后,提高治疗效果
Objective To investigate the surgical treatment of acute perforation of duodenal ulcer. Methods 96 cases of acute perforation of duodenal ulcer in our hospital from January 2002 to December 2010 were selected and divided into gastrectomy group and simple perforation and suture group according to the surgical method. The surgical procedure and effect were compared between the two groups . Results Gastrectomy patients had better recurrence rate than simple perforation and suturing patients, but the operation time was inferior to the simple perforation and suture group (P <0.05). Conclusion Surgical treatment is an effective method for acute perforation of duodenal ulcer. The correct surgical plan and comprehensive treatment can significantly improve the prognosis of patients with duodenal ulcer perforation and improve the therapeutic effect