摘要
目的探讨消化性溃疡急性穿孔的治疗方法,旨在提高Ⅰ期手术治愈的成功率。方法回顾性总结分析手术治疗消化性溃疡急性穿孔208例,其中86例(41.35%)采用胃大部连同病灶切除Ⅰ期治愈,胃肠重建采用BillrothⅠ式吻合18例(20.93%),BillrothⅡ式吻合68例(79.07%),BillrothⅡ式结肠前吻合42例(61.76%),结肠后吻合26例(38.24%)。结果86例中除1例BillrothⅡ式吻合术后发生胃瘫并发症,经保守治疗1个月治愈外,其余患者术后恢复良好,均随访>5年情况良好。结论消化性溃疡急性穿孔的Ⅰ期手术治疗,解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题,缩短了治愈周期,提高了生存质量,减轻了患者的二次手术痛苦和经济负担。
Objective To discuss treatment of acute perforation of peptic ulcer, to elevate Ⅰ stage operation recovery rate. Methods 208 eases were retrospeetively anslysed, 86 eases （ 41.35 % ） were reeoverde by subtotal gastrectomy ; 18 eases （ 20.93 % ） were undergone Billroth Ⅰ anastomosis;68 eases（79.07% ） Billroth Ⅱ ;42 eases（61.76%） Billroth Ⅱ preeolonie anastomosis;26 eases（38.24% ） retroeolie anastomosis. Results In 86 eases, 1 ease was eomplieated by gastroparesis, others all recovered. All eases were followed up for 5 years. Conclusion The procedure can shorten the recovery time and increase quality of life, and reduce the re-operation pain and economy burden.
出处
《四川医学》
CAS
2008年第9期1190-1191,共2页
Sichuan Medical Journal
