Analysis of the Effectiveness of Treatment for Acute Perforation of Gastroduodenal Ulcer with Simple Repair and Subtotal Gastreetomy

Objective To analyze and compare the effectiveness of treatment for acute perforation of gastroduodenal ulcer with simple repair and subtotal gastreetomy. Methods 368 patients with acute perforation of gastroduodenal ulcer were randomly divided into two groups: group A( simple repair) and group B( subtotal gastreetomy),and then whether there were in significant differences between two groups were analyzed. Results Multiple linear analysis showed that operation time,hospitalization and bleeding of patients with subtotal gastreetomy were higher than the patients with simple repair( P 0. 05). Patients with subtotal gastreetomy had a higher risk of adhesive obstruction than patients with simple repair( 95% CI: 1. 32 ~ 1. 58). Patients with subtotal gastreetomy had a higher risk of abdominal abscess than patients with simple repair( 95% CI: 1. 26 ~ 1. 41). And patients with subtotal gastreetomy had a higher risk of wound infection than patients with simple repair( 95% CI: 1. 38 ~ 1. 67). Conclusion Simple repair was the best choice for treating acute perforation of gastroduodenal ulcer under appropriate circumstances.