CAJ | 학술논문

目的:探讨治疗急性穿孔的两种手术方法和疗效.方法:76例胃十二指肠溃疡急性穿孔分为A组40例及B组36例, A组采用单纯修补术,B组采用胃大部分切除术.对比两组的手术跨时,总结术后并发症及复发率.结果:A组穿孔修补术较B组胃大部分切除术手术跨时短;A组住院时间大幅缩短,未出现明显并发症(P<0.01);A组和B组术后复发率分别7.50%和5.56%,但无统计学差异(P>0.05).结论:单纯修补术减少患者的手术治疗恢复时间,提高患者预后情况和降低术后并发症,治疗急性穿孔的效果较胃大部分切除术好.
목적:탐토치료급성천공적량충수술방법화료효.방법:76례위십이지장궤양급성천공분위A조40례급B조36례, A조채용단순수보술,B조채용위대부분절제술.대비량조적수술과시,총결술후병발증급복발솔.결과:A조천공수보술교B조위대부분절제술수술과시단;A조주원시간대폭축단,미출현명현병발증(P<0.01);A조화B조술후복발솔분별7.50%화5.56%,단무통계학차이(P>0.05).결론:단순수보술감소환자적수술치료회복시간,제고환자예후정황화강저술후병발증,치료급성천공적효과교위대부분절제술호.
Objective: To investigate two kinds of operation methods and curative effects of treating acute perforation. Methods: 76 patients with acute perforation of gastroduodenal ulcer were divided into A group of 40 cases and group B of 36 cases, group A adopted neoplasty simply, group B was treated with subtotal gastrectomy. To compare the operation duration of two groups and summarize the complications and recurrence rates after operation. Results: Operation duration of group A with simple neoplasty was shorter than that of group B perforation with subtotal gastrectomy;group A greatly shortened the hospitalization time without obvious complications (P<0.01);the recurrence rates of group A and B group were 7.50%and 5.56%, still without significant difference (P>0.05). Conclusion:Simple neoplasty reduces the recovery time of patients with treatment of opera-tion, improves the prognosis and decreases postoperative complications, the effects of which treating acute perforation is better than that of subtotal gastrectomy.