急性胃穿孔选择修补术与大部分切除术的疗效对比

任兴宇，党玉林，白海锋，王欣成

（陕西省榆林市第三医院综合外科，陕西 榆林，719000）

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摘要：

目的 分析选择修补术和大部分切除术治疗急性胃穿孔的临床疗效。方法 选取我院收治的92例急性胃穿孔患者，随机分为观察组和对照组，各46例。对照组患者采用大部分切除术，而观察组患者采用选择修补术，比较两组患者的手术时间、住院时间、治疗有效率、术后并发症发生情况及复发情况。结果 观察组的手术时间、住院时间及治疗总有效率均明显优于对照组（P<0.05）。对照组患者的并发症发生情况和VIsick评级结果稍优于观察组，但差异无统计学意义（P>0.05）。结论 选择修补术与大部分切除术在治疗急性胃穿孔上各有优势，临床应针对病情的需求合理选择手术方式，对于一些具有胃部原发病的患者，可以采用大部分切除术，从而提高患者康复率。

关键词：急性胃穿孔；选择修补术；大部分切除术

中图分类号：R656.61 文献标志码：A文章编号：2096-1413(2017)21-0064-02

Effect comparison of elective repair and subtotal resection for acute gastric perforation
REN Xing-yu, DANG Yu-lin, BAI Hai-feng, WANG Xin-cheng
(Department of General Surgery, the Third Hospital of Yulin City, Yulin 719000, China)

ABSTRACT: Objective To analyze the clinical efficacy of elective repair and subtotal resection for acute gastric perforation. Methods Ninety-two cases of patients with acute gastric perforation in our hospital were selected and randomly divided into observation group and control group, with 46 cases in each group. The control group was treated with subtotal re section, while the observation group used elective repair. The operative time, hospitalization time, the effective rate of treatment, the occurrence of postoperative complications and recurrence were compared between the two groups. Results The operative time, hospitalization time and the effective rate of treatment of the observation group were significantly better than those in the control group (P<0.05). The incidence of complications and VIsick scores in the control group were slightly better than those in the observation group, but the differences were not statistically significant (P>0.05). Conclusion Elective repair and subtotal resection have their own advantages for acute gastric perforation, and clinical should choose a reasonable way according to the needs of the disease condition, subtotal resection can be used for patients with primary gastric disease, thereby improving patients`` recovery rate.
KEYWORDS: acute gastric perforation; elective repair; subtotal resection

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