摘要
目的 探讨适用于基层医院的胃十二指肠溃疡急性穿孔的手术治疗方法。方法 对1991～ 2 0 0 1年收治的胃十二指肠溃疡急性穿孔行急诊胃大部切除术的 84例患者临床资料及随访结果进行回顾性分析。结果 84例急诊胃大部切除术的病人术后恢复顺利 ,痊愈出院 ,无死亡病例。通过 1～ 5年的随访 ,患者一般在术后 3～ 4个月生活、体质恢复到正常水平 ,能胜任日常工作。1例 ( 1.2 % )在 2年后出现吻合口溃疡。结论 胃大部切除术去除了溃疡病灶和泌酸环境 ,达到了根治的目的 ,且手术安全性高。因此 ,在基层医院 ,在患者条件许可时 ,对胃十二指肠溃疡穿孔应尽可能行胃大部切除术治疗。
Objective To explore the method of the surgical treatment of stomach and duodenal ulcer perforation adapted in fundamental hospital. Methods The clinical data and the follow-up results of 84 cases of stomach and duodenal ulcer perforation undergoing emergent subtotal gastrectomy admitted from 1991 to 2001 were analysed retrospectively. Results All 84 cases underwent emergency subtotal gastrectomy and recovered smoofhly ,and no patient died in this series. All the 84 patients were followed-up for 1～5 years.All the patients′ general condition recovered and could do normal daily work 3～4 moths after operation. 1 case (1.2%) appeared anastomosis leakage ulcer 2 years after operation. Conclusions Subtotal gastrectomy can remore of the ulcer and the acid secretion, and it has high safety. So it could be done in fundamental hospital if the condition of the patient is permissive.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第7期497-499,共3页
China Journal of General Surgery
