【摘 要】目的：比较胃大部切除术与单纯修补术治疗急性胃穿孔的临床效果。方法：将我院56例急性胃穿孔患者按照手术方式的不同分为切除术组和修补术组，分析两组患者手术时长、住院天数、术后并发症及复发率等情况。结果：修补术组患者手术时间、住院天数及术后并发症的发生数均好于切除术组，两组之间存在显著性差异，有统计学意义(P<0.05)；切除术组患者和修补术组患者术后复发状况之间有显著性差异，有统计学意义(P<0.05)。结论：胃大部切除术与单纯修补术作为治疗急性胃穿孔的两种常用方法，具有各自的优点和缺点，在实际工作中应根据患者实际情况选择合理的治疗方式。

    【关键词】急性胃穿孔；胃大部切除术；单纯修补术；临床效果

    The clinical effects of subtotal gastrectomy and simple closure for acute gastric perforation

    Tong Song Zhang Hao-min Wang Feng

    The Second Affiliated Hospital of Qiqihar University of Medical 161000

    [Abstract]Objective：To observe and contrast the clinical effects of subtotal gastrectomy and simple closure for acute gastric perforation.Method：Selected 56 patients with acute gastric perforation is divided according to different surgical excision group and closure group ......