胃十二指肠穿孔非手术治疗后早期胃镜检查的价值  

Value of gastroendoscopy check-up early after non-surgical treatment of patients with gastro- duodenal perforation

作　　者：陈钢[1] 郑昌京[2] 张冬辉[1] 

机构地区：[1]广东医学院附属福田人民医院胃肠外科,深圳518033 [2]广东医学院附属福田人民医院消化内科胃肠镜室,深圳518033

出　　处：《中国医师进修杂志》2008年第3期10-12,共3页Chinese Journal of Postgraduates of Medicine

基　　金：深圳市科技计划项目（200703145）

摘　　要：目的探讨胃十二指肠穿孔（PGD）非手术治疗后，早期胃镜检查的价值。方法选择疑似胃十二指肠溃疡穿孔（PGDU）而行非手术治疗PCD患者，根据穿孔闭合的临床指标，住院期间选择不同时段采用胃镜检查。结果接受胃镜检查133例，确诊胃十二指肠溃疡（GDU）129例（97．0％），胃癌3例（2．3％），十二指肠憩室1例（0．8％）。受检者均无镜检相关并发症，确诊GDU者给了药物治疗，对6例穿孔病因有手术指征者实施了早期手术治疗。结论PGD非手术治疗后早期胃镜检查，对确诊PGD病因、及时针对性病因治疗及对非手术治疗穿孔愈合机制的研究均有价值。Objective To explore the value of gastroendoscopy check-up early after non-surgical treatment of patients with gastroduodenal perforation. Methods The patients suspeeted of perforated gastroduodenal ulcer on hospital admission underwent non-surgical treatment were enrolled. After cured clinically, performed gastroendoscopy at different time perieds. Results Among 133 patients underwent gastrointestinal endoscopy, 129 cases （97.0%） were diagnosed gastroduodenal ulcer, 3 cases （2.3%） were diagnosed gastric carcinoma, 1 case （0.8%） was confirmed duodenal diverticulum,no complications occurred due to endoscopy. The 6 cases that had surgical indications had be implemented the early surgical treatment. Conclusions After non-surgical treatment of patient with gastroduodenal perforation,timely gastroen- doscopy can truly show pathologic changes with gastroduodenal perforation. So endoscopy is beneficial under condition appropriate time selection for confirmed the etiology of PGD, treatment promptly targeted etiology and understanding the mechanism healing the perforation as non-surgical treatment.

关 键 词：消化性溃疡穿孔 胃镜检查 诊断 胃肿瘤 

分 类 号：R656.6[医药卫生—外科学] R651.15[医药卫生—临床医学]