中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
127-129,130
,共4页
李兴禹%魏小燕%李青松%何立春
李興禹%魏小燕%李青鬆%何立春
리흥우%위소연%리청송%하립춘
胃大部切除%上消化道出血%急性非静脉曲张性%疗效
胃大部切除%上消化道齣血%急性非靜脈麯張性%療效
위대부절제%상소화도출혈%급성비정맥곡장성%료효
Subtotal gastrectomy%Hemorrhage of upper gastrointestinal tract%Acute non varicose%Clinical effect
目的：探讨胃大部切除对于急性非静脉曲张性上消化道出血的长期治疗效果。方法：回顾性分析2006年1月-2008年12月本院136例急性非静脉曲张性上消化道出血患者的临床资料，依据治疗方式不同分为两组，其中采用胃大部切除手术治疗的64例患者为观察组，采用非手术治疗的72例患者为对照组。治疗后随访5年，比较两组长期疗效。结果：观察组近期治疗总有效率为98.44%，略高于对照组的91.67%，但差异无统计学意义（P>0.05）；观察组不良情况发生率为6.25%，稍高于对照组的5.56%，但差异无统计学意义（P>0.05）；观察组5年内再次出血发生率为3.13%，明显低于对照组的34.72%，差异有统计学意义（P<0.05）；观察组糖尿病并发率为1.56%，明显低于对照组的15.28%，差异有统计学意义（P<0.05）。结论：胃大部切除治疗急性非静脉曲张性上消化道出血具有可靠的长期疗效，并可预防患者并发糖尿病，值得临床推广。
目的：探討胃大部切除對于急性非靜脈麯張性上消化道齣血的長期治療效果。方法：迴顧性分析2006年1月-2008年12月本院136例急性非靜脈麯張性上消化道齣血患者的臨床資料，依據治療方式不同分為兩組，其中採用胃大部切除手術治療的64例患者為觀察組，採用非手術治療的72例患者為對照組。治療後隨訪5年，比較兩組長期療效。結果：觀察組近期治療總有效率為98.44%，略高于對照組的91.67%，但差異無統計學意義（P>0.05）；觀察組不良情況髮生率為6.25%，稍高于對照組的5.56%，但差異無統計學意義（P>0.05）；觀察組5年內再次齣血髮生率為3.13%，明顯低于對照組的34.72%，差異有統計學意義（P<0.05）；觀察組糖尿病併髮率為1.56%，明顯低于對照組的15.28%，差異有統計學意義（P<0.05）。結論：胃大部切除治療急性非靜脈麯張性上消化道齣血具有可靠的長期療效，併可預防患者併髮糖尿病，值得臨床推廣。
목적：탐토위대부절제대우급성비정맥곡장성상소화도출혈적장기치료효과。방법：회고성분석2006년1월-2008년12월본원136례급성비정맥곡장성상소화도출혈환자적림상자료，의거치료방식불동분위량조，기중채용위대부절제수술치료적64례환자위관찰조，채용비수술치료적72례환자위대조조。치료후수방5년，비교량조장기료효。결과：관찰조근기치료총유효솔위98.44%，략고우대조조적91.67%，단차이무통계학의의（P>0.05）；관찰조불량정황발생솔위6.25%，초고우대조조적5.56%，단차이무통계학의의（P>0.05）；관찰조5년내재차출혈발생솔위3.13%，명현저우대조조적34.72%，차이유통계학의의（P<0.05）；관찰조당뇨병병발솔위1.56%，명현저우대조조적15.28%，차이유통계학의의（P<0.05）。결론：위대부절제치료급성비정맥곡장성상소화도출혈구유가고적장기료효，병가예방환자병발당뇨병，치득림상추엄。
Objective: To discuss the long term clinical effect of subtotal gastrectomy for treatment of acute non varicose hemorrhage of upper gastrointestinal tract.Method: Clinical data of 136 patients with acute non varicose hemorrhage of upper gastrointestinal tract in our hospital from January 2006 to December 2008 were retrospectively analyzed. According to different treatment methods, these patients were divided into two groups, the observation group with 64 cases who were given subtotal gastrectomys and the control group with 72 cases who were given non-surgical treatments. They were given 5 years follow-up visits after treatments, and long term clinical effects of the two groups were compared.Result: Short term total effective rate of the observation group was 98.44%, slightly higher than 91.67% in the control group, but there was no statistically significant difference (P>0.05); occurrence rate of adverse reactions of the observation group was 6.25%, slightly higher than 5.56% in the control group, but there was no statistically significant difference (P>0.05); recurrence rate of bleeding within 5 years of the observation group was 3.13%, obviously lower than 34.72% in the control group (P<0.05); diabetes complication rate of the observation group was 1.56%, obviously lower than 15.28% in the control group (P<0.05).Conclusion: Subtotal gastrectomy has a reliable long term clinical effect for treatment of acute non varicose hemorrhage of upper gastrointestinal tract and it can also prevent complication of diabetes, so it is worth of being popularized clinically.
