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目的:探讨单纯缝合修补术在治疗胃、十二指肠溃疡急性穿孔中的应用。方法:将我科收治的80例胃、十二指肠溃疡急性穿孔患者随机分为对照组和治疗组,对照组采用胃大部切除术,治疗组采用单纯缝合修补术,观察2组病例的手术时间、术中出血量、肠蠕动恢复时间、术后住院日等手术相关指标,并随访6个月观察复发情况。结果:所有患者均顺利康复出院,治疗组各项手术相关指标均优于对照组(P<0.05),复发率2组比较无统计学意义(P>0.05)。结论:单纯缝合修补术治疗胃、十二指肠溃疡急性穿孔具有手术时间短、术中出血少、术后肠蠕动恢复快、住院时间短等优点,值得临床推广。
Objective: To investigate the application of simple suture repair in the treatment of acute perforation of stomach and duodenal ulcer. Methods: A total of 80 patients with acute perforation of stomach and duodenal ulcer admitted to our department were randomly divided into control group and treatment group. The control group was treated by subtotal gastrectomy. The treatment group was treated with simple suture repair. Operation time, intraoperative blood loss, recovery time of intestinal peristalsis, postoperative hospital days and other surgical indicators, and follow-up of 6 months to observe the recurrence. Results: All the patients were well discharged and recovered. All the relevant indexes in the treatment group were better than those in the control group (P <0.05). There was no significant difference between the two groups (P> 0.05). Conclusion: The simple suture repair for the treatment of gastric and duodenal ulcer acute perforation has the advantages of short operation time, less intraoperative bleeding, rapid recovery of intestinal peristalsis, shorter hospital stay, which is worthy of clinical promotion.