摘要：目的：总结消化性溃疡穿孔的手术治疗效果及医疗经济费用。方法：对160例消化性溃疡穿孔采用穿孔单纯缝合修补组80例和采用胃大部分切除术Ⅰ期根治组80例进行比较分析。结果：两组均无死亡病例，临床治愈率100%，随访1至3年，消化性溃疡穿孔修补组再次行Ⅱ期胃大部分切除56例。继续服药治疗24例。消化性溃疡穿孔行胃大部分切除组无溃疡复发，不需要继续服药治疗。结论：消化性溃疡急性穿孔以胃大部分切除Ⅰ期根治术的方法疗效确切，避免Ⅱ期再次手术或长期服药治疗，医疗费用比较低。

     关键词： 消化性溃疡穿孔； 胃大部分切除； 医疗经济

    Clinical Analysis of 160 Urgent Peptic Ulcer Perforation Cases

    FANG He-nian

    (People’s Hospital of Huilai County, Guangdong Huilai 515200, China)

    Abstract: Objective: To summarize the operation effect and medical cost of peptic ulcer perforation patients.Method: 80 perforation cases with simple suture repair and 80 cases with one stage subtotal gastrectomy were compared.Result: Recovery rates of both groups were 100%. The patients were followed up visited for 1 to 3 years. 56 neoplasty group patients had the second subtotal gastrectomy. There is no ulcer recurrence case in the excision group. And these cases didn’t need continued peroral administration therapy.Conclusion: To the urgent peptic ulcer perforation patients, curative effect of one stage subtotal gastrectomy was good. The cases were avoided with the second operation and long-term peroral administration therapy, and with lower medical cost. ......