CAJ | 학술논문

目的：进一步探究急性胃穿孔患者手术治疗效果。方法收集了2013年3月～2014年3月我院收治的48例急性胃穿孔患者临床资料进行详细研究，将上述患者随机分为两组，24例对照组患者接受单纯穿孔缝合术治疗，24例研究组患者接受胃大部切除手术治疗。结果研究组患者并发症发生率（8.3%）低于对照组（33.3%），P<0.05，具有差异统计学意义。对照组患者平均住院时间（10.3±1.5d）与研究组（9.8±2.4d）相比，无差异性，P>0.05。研究组患者复发率低于对照组，P<0.05，具有差异统计学意义。结论胃大部切除手术治疗急性胃穿孔的临床效果确切，能降低并发症发生率与复发率。
목적：진일보탐구급성위천공환자수술치료효과。방법수집료2013년3월～2014년3월아원수치적48례급성위천공환자림상자료진행상세연구，장상술환자수궤분위량조，24례대조조환자접수단순천공봉합술치료，24례연구조환자접수위대부절제수술치료。결과연구조환자병발증발생솔（8.3%）저우대조조（33.3%），P<0.05，구유차이통계학의의。대조조환자평균주원시간（10.3±1.5d）여연구조（9.8±2.4d）상비，무차이성，P>0.05。연구조환자복발솔저우대조조，P<0.05，구유차이통계학의의。결론위대부절제수술치료급성위천공적림상효과학절，능강저병발증발생솔여복발솔。
Objective Surgical treatment effect to patients with acute gastric perforation is to be investigated fatherly. Methods Reviewed and analyzed clinical treatment data,and selected from 48 patients with acute gastricperforation who were treatedin hospital from March 2013 to March 2014,and separatedthesepatients into two groups at random,24 patients in control groupwere givensimple suture treatment,while 24 patients in study groupwere given gastrectomy operation treatment.Results Complication incidence in study group(9%)was quite lower than that(33.3%)in control group,there was a treatment differential between two groups,and such a differential had statistic value (P<0.05). But,with regarding topatients’hospitalization days on average,there was no difference between control group(10.3±1.5d) and study group(9.8±2.4d),and such a differential has no statistic value(P>0.5). Besides,illness reoccurrence in study groupwas quite lower than that in control group,there was a treatment differential between two groups,and such a differential had statistic value(P<0.05). Conclusion Gastrectomy operation is quite effective to curepatients with acute gastric perforation,it is conducive to reducing complication incidence as well as illness reoccurrenceprobability.