母婴世界
母嬰世界
모영세계
Chinese Baby
2015年
2期
5-6
,共2页
胃大部切除术%单纯缝合术%急性胃穿孔
胃大部切除術%單純縫閤術%急性胃穿孔
위대부절제술%단순봉합술%급성위천공
Subtotal gastrectomy%Simple suture technique%acute gastric perforation
目的：探讨胃大部切除与单纯修补术治疗急性胃穿孔的疗效比较。方法：选择2012年6月－2014年6月北京市怀柔区中医医院就诊的急性胃穿孔患者64例，分为缝合组与切除组，比较两组患者术后各指标，评价两种手术的疗效。结果：切除组在手术时间、住院时间、切口感染率均高于缝合组（P 值分别为：＜0．01，＜0．01，0．01），复发率两组无明显差异（P ＝0．689），缝合组在复发时间上要短于切除组，且差异有统计学意义（P ＝0．018）。结论：单纯修补术治疗急性胃穿孔相比传统胃大部切除术可明显缩短手术时间和住院时间，并减少切口感染的发生，值得在临床上推广应用。
目的：探討胃大部切除與單純脩補術治療急性胃穿孔的療效比較。方法：選擇2012年6月－2014年6月北京市懷柔區中醫醫院就診的急性胃穿孔患者64例，分為縫閤組與切除組，比較兩組患者術後各指標，評價兩種手術的療效。結果：切除組在手術時間、住院時間、切口感染率均高于縫閤組（P 值分彆為：＜0．01，＜0．01，0．01），複髮率兩組無明顯差異（P ＝0．689），縫閤組在複髮時間上要短于切除組，且差異有統計學意義（P ＝0．018）。結論：單純脩補術治療急性胃穿孔相比傳統胃大部切除術可明顯縮短手術時間和住院時間，併減少切口感染的髮生，值得在臨床上推廣應用。
목적：탐토위대부절제여단순수보술치료급성위천공적료효비교。방법：선택2012년6월－2014년6월북경시부유구중의의원취진적급성위천공환자64례，분위봉합조여절제조，비교량조환자술후각지표，평개량충수술적료효。결과：절제조재수술시간、주원시간、절구감염솔균고우봉합조（P 치분별위：＜0．01，＜0．01，0．01），복발솔량조무명현차이（P ＝0．689），봉합조재복발시간상요단우절제조，차차이유통계학의의（P ＝0．018）。결론：단순수보술치료급성위천공상비전통위대부절제술가명현축단수술시간화주원시간，병감소절구감염적발생，치득재림상상추엄응용。
To investigate the comparative effectiveness of subtotal gastrectomy and simple closure for the treatment of acute gastric perforation.Methods:Chose 64 cases acute gastric perforation in T.C.MHospital of Beijing Huairou in 2012.7 -2014.6 which divided into the suture group and resection group.Compare indexes of the two groups after operation,and evaluate the effect of two kinds of opera-tion.Results:Resection group is higher than suture group in operation time,hospitalization time,and incision infection rate (P:<0.01,<0.01,0.01 respectively),there is no significant difference concerning the recurrence rate between the two groups (P =0.689).In ad-dition,suture group is shorter than resection group regarding the time to recurrence,and there is a significant statistically difference (P =0.018).Conclusion:Compared with the traditional subtotal gastrectomy,simple suture technique for the treatment of acute gastric perfora-tion can obviously shorten the operation time and hospital stay,and reduce the occurrence of incision infection.In a word,it is worth popu-larizing and applying on clinic.
