Clinical analysis of subtotal gastrectomy for patients of acute gastroduodenal ulcer perforation

Objective To observe the clinical effects of subtotal gastrectomy for patients of acute gastroduodenal ulcer perforation. Methods 178 cases of acute gastroduodenal ulcer perforation treated by operation were divided into control group( operation on simple closure with open) with 89 cases and treatment group( subtotal gastrectomy) with 89 cases. The clinical effects of two groups were observed and statistical analyzed. Results After 1 ~ 3 years follow-up observation: ①The ulcer recurrence rate of treatment group was 10. 11%, the second gastric perforation was 6. 74%,the incidence of complication was 8. 99%,all these three data were lower than control group. The difference was statistical significance( P 0. 05). Conclusion The long-term results of subtotal gastrectomy for patients of acute gastroduodenal ulcer perforation was good. The satisfactory was better. The ulcer recurrence rate and the incidence of complication were lower than traditional treatment. It's fit for critical patients.