上消化道穿孔保守治疗和手术治疗疗效对比

目的 比较上消化道穿孔保守治疗与手术治疗的治疗效果 方法 本院2009年10月至2011年10月共收治上消化道穿孔病人126例,其中,58例病人给予保守治疗方法,68例病人进行外科治疗,比较两种治疗方法的治愈率以及并发症的发生率.结果 保守治疗组53例痊愈,2例发生并发症,3例转外科治疗,治愈成功率为91.4％,并发症发生率3.4％.外科治疗组59例痊愈,8例发生并发症,1例死亡,治愈成功率为86.8％,并发症发生率为11.8％,两种治疗方法治愈率差异无显著性(P＞0.05),而保守治疗组并发症发生率明显低于外科治疗组(P＜0.05).结论 严格符合保守治疗适应症的病人应首先保守治疗,可以减少并发症的发生率,降低治疗费用.

Comparison of conservative treatment and surgical treatment for upper gastrointestinal perforation

Objective To compare the efficacy of conservative treatment with that of surgical treatment for upper gastrointestinal perforation. Methods 126 patients with upper gastrointestinal perforation who had been hospitalized during the period of October 2009 to October 2011 received conservative treatment （ 58 patients ）, or surgical treatment （ 68 patients ）. The cure rate and the incidence rate of complications were compared between the two groups. Results In the group with conservative treatment, 53 patients recovered, two occurred complications, and three patients needed to have surgical treatment, with a cure rate of 91.4% and a rate of complications of 3.4%. While in the group with surgical treatment, 59 patients were cured, eight developed complications, one was dead, with a cure rate of 86.$% and a rate of complications of 8.$%. There was no significant difference between the two therapies in the cure rate （ P〉 0.05 ） but the rate of complications was significantly lower in the group with conservative treatment than the group with surgical treatment （ P 〈 0.05 ）. Conclusions The patients who meet the criteria for conservative treatment should receive conservative treatment first, which can reduce the incidence rate of complications and the cost of treatment.