Comparison of the Effects of Majority Gastrectomy and Perforation Re-pair on Perioperative Indicators and Complication Rates in Patients with Acute Gastric Perforation
Objective To compare the effects of majority gastrectomy and perforation repair on perioperative indica-tors and complication rates in patients with acute gastric perforation.Methods 80 patients with acute gastric perfora-tion received by Weishan County People's Hospital from April 2020 to January 2023 were selected as the study ob-jects and were divided into majority gastrectomy group and perforation repair group according to different surgical treatment plan with 40 cases in each group.Perioperative indicators and complications were compared between the two groups.Results The effective rate in the majority gastrectomy group(97.50%)was higher than that in the perfora-tion repair group(82.50%),the difference was statistically significant(χ2=5.000,P<0.05).Compared with the majority gastrectomy group,the perforation repair group had shorter time of surgery and hospital stay,less intraoperative bleed-ing,and lower postoperative pain score and total incidence rate of complications,and the differences were statistically significant(all P<0.05).Conclusion In the treatment of patients with acute gastric perforation,majority gastrectomy is better,but perforation repair can reduce the operation and hospital stay,and improve intraoperative bleeding and post-operative pain,reduce the occurrence of complications.In clinical work,the treatment plan should be reasonably se-lected according to the actual situation of patients.
Majority gastrectomyPerforation repairAcute gastric perforationPerioperative period