摘要
目的:探讨胃大部切除术治疗消化性溃疡的临床价值。方法:对1984年12月至2009年12月采取胃大部切除术治疗的93例消化性溃疡患者的临床资料进行回顾性分析。结果:本组93例消化性溃疡全部施行胃大部切除术,其中90例同时切除溃疡病灶,3例行溃疡旷置。术后6例发生切口感染,给予抗感染、换药、引流及对症治疗痊愈。1例发生十二指肠残端瘘,手术治疗后患者康复出院,其余病例术后恢复良好。结论:消化性溃疡行胃大部切除术在解决出血与穿孔的同时,又去除了溃疡病灶和泌酸环境,达到了根治的目的,疗效确切,值得临床推广应用。
Objective： To investigate the clinical value of the treatment to peptic ulcer by subtotal gastrectomy. Methods： The clinical data of 93 cases with peptic ulcer treated by subtotal gastrectomy were analyzed retrospectively from Dec. 1984 to Dec. 2009. Results： 93 cases were all treated by subtotal gastrectomy, 90 cases together with lesion resection, 3 cases with ulcer exclusion, after operation 6 cases had infections of incisional wound, then healed by anti-inflammatory, dressing change, water-spreading and symptomatic treatment; 1 case had duodenal stump leakage and was discharged from hospital upon recovery. The others tuned well after operation. Conclusion： Peptic ulcer treated by subtotal gastrectomy not only resolve hemorrhage and perforation, but also wipe off ulcer focus and gastric oxyntic environment, which achieve the goal of eradication and was worth to use in clinical field widely.
出处
《华夏医学》
CAS
2011年第3期332-334,共3页
Acta Medicinae Sinica
关键词
消化性溃疡
急性穿孔
出血
胃大部切除术
peptic ulcer
acute perforation
hemorrhage
subtotal gastrectomy
