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。
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.
出处
《河北医学》
CAS
2006年第7期643-645,共3页
Hebei Medicine
关键词
消化性溃疡穿孔
胃大部分切除
医疗经济
Peptic ulcer perforation
Subtotal gastrectomy
Medical economy
