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单纯修补术与胃大部分切除术治疗急性胃穿孔的疗效

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目的:比较分析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:将我院近年来收治的80例急性胃穿孔患者随机分为观察组与参考组,各为40例,分别给予两组患者单纯修补术与胃大部分切除术治疗,观察两组患者平均手术时间、术中出血量、首次下床时间、平均住院时间,同时对两组患者术后并发症发生情况、远期复发率进行比较分析。结果:观察组手术时间、首次下床时间及平均住院时间显著短与参考组(P<0.05);术中出血量显著少于参考组(P<0.05),观察组术后并发症发生率明显低于参考组,术后2年内复发率高于参考组(P<0.05)。结论:单纯修补术具有手术时间短、手术损伤小,术后患者康复快、并发症少等优势,然而医护人员要严格掌握适应症,选择合适手术方式。
[OBJECTIVE] A Comparative Analysis of repair and partial gastrectomy acute clinical effects of gastric perforation . Methods: In recent years, the hospital admitted 80 cases of acute gastric perforation were randomly divided into two groups with the reference group , each of 40 cases , the patients were given two simple repair and partial gastrectomy treatment , patients were observed average operative time , blood loss, time to get out of bed for the first time , the average length of hospital stay , and postoperative complications patients were cases , forward recurrence rate were compared. Results: The operative time , bed time and the first time the average length of stay was significantly shorter with the reference group (P <0.05); blood loss was significantly less than the reference group (P <0.05), the observation group was significantly incidence of postoperative complications lower than the reference group, the recurrence rate within 2 years in the reference group (P <0.05). Conclusion: The simple repair with shorter operative time , surgical trauma , faster postoperative recovery , fewer complications and other advantages, however, health care workers should be strictly control ed indications , select the appropriate surgical approach .

alone repairstomach hit most resectionacute gastric perforationclinical effects

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云南怒江边防支队卫生队 673100

单纯修补术 胃打大部分切除术 急性胃穿孔 临床效果

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(15)
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