国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
11期
1603-1604
,共2页
上消化道穿孔%保守治疗%手术治疗
上消化道穿孔%保守治療%手術治療
상소화도천공%보수치료%수술치료
Upper gastrointestinal perforation%Conservative treatment%Surgical treatment
目的 比较上消化道穿孔保守治疗与手术治疗的治疗效果 方法 本院2009年10月至2011年10月共收治上消化道穿孔病人126例,其中,58例病人给予保守治疗方法,68例病人进行外科治疗,比较两种治疗方法的治愈率以及并发症的发生率.结果 保守治疗组53例痊愈,2例发生并发症,3例转外科治疗,治愈成功率为91.4％,并发症发生率3.4％.外科治疗组59例痊愈,8例发生并发症,1例死亡,治愈成功率为86.8％,并发症发生率为11.8％,两种治疗方法治愈率差异无显著性(P＞0.05),而保守治疗组并发症发生率明显低于外科治疗组(P＜0.05).结论 严格符合保守治疗适应症的病人应首先保守治疗,可以减少并发症的发生率,降低治疗费用.
目的 比較上消化道穿孔保守治療與手術治療的治療效果 方法 本院2009年10月至2011年10月共收治上消化道穿孔病人126例,其中,58例病人給予保守治療方法,68例病人進行外科治療,比較兩種治療方法的治愈率以及併髮癥的髮生率.結果 保守治療組53例痊愈,2例髮生併髮癥,3例轉外科治療,治愈成功率為91.4％,併髮癥髮生率3.4％.外科治療組59例痊愈,8例髮生併髮癥,1例死亡,治愈成功率為86.8％,併髮癥髮生率為11.8％,兩種治療方法治愈率差異無顯著性(P＞0.05),而保守治療組併髮癥髮生率明顯低于外科治療組(P＜0.05).結論 嚴格符閤保守治療適應癥的病人應首先保守治療,可以減少併髮癥的髮生率,降低治療費用.
목적 비교상소화도천공보수치료여수술치료적치료효과 방법 본원2009년10월지2011년10월공수치상소화도천공병인126례,기중,58례병인급여보수치료방법,68례병인진행외과치료,비교량충치료방법적치유솔이급병발증적발생솔.결과 보수치료조53례전유,2례발생병발증,3례전외과치료,치유성공솔위91.4％,병발증발생솔3.4％.외과치료조59례전유,8례발생병발증,1례사망,치유성공솔위86.8％,병발증발생솔위11.8％,량충치료방법치유솔차이무현저성(P＞0.05),이보수치료조병발증발생솔명현저우외과치료조(P＜0.05).결론 엄격부합보수치료괄응증적병인응수선보수치료,가이감소병발증적발생솔,강저치료비용.
Objective To compare the efficacy of conservative treatment with that of surgical treatment for upper gastrointestinal perforation.Methods 126 patients with upper gastrointestinal perforation who had been hospitalized during the period of October 2009 to October 2011 received conservative treatment ( 58 patients ),or surgical treatment ( 68 patients ).The cure rate and the incidence rate of complications were compared between the two groups.Results In the group with conservative treatment,53 patients recovered,two occurred complications,and three patients needed to have surgical treatment,with a cure rate of 91.4％ and a rate of complications of 3.4％.While in the group with surgical treatment,59 patients were cured,eight developed complications,one was dead,with a cure rate of 86.8％ and a rate of complications of 8.8％.There was no significant difference between the two therapies in the cure rate ( P＞ 0.05 ) but the rate of complications was significantly lower in the group with conservative treatment than the group with surgical treatment ( P ＜ 0.05 ).Conclusions The patients who meet the criteria for conservative treatment should receive conservative treatment first,which can reduce the incidence rate of complications and the cost of treatment.
