胃十二指肠溃疡急性穿孔不同手术方式的远期疗效比较  

Comparing of long-term results in patients with acute perforated gastroduodenal ulcer treated by different surgical methods

作　　者：尤志成 吴朝晖 陈杨眉 郑小滨 

机构地区：[1]福建省永春县医院外二科,永春362600

出　　处：《福建医药杂志》2011年第2期19-20,共2页Fujian Medical Journal

摘　　要：目的分析比较胃十二脂肠急性穿孔的不同手术方式的远期疗效。方法对我院收治的胃十二脂肠溃汤穿孔157例中101例行开腹单纯穿孔修补术及术后抑酸、根除幽门螺旋杆菌治疗(单纯修补术组),56例行胃大部切除术(大部切除术组)。结果所有157例患者术后3个月溃疡治愈率达100%,随访期内溃疡复发15例(9.6%)。开腹单纯修补术组明显缩短了术程时间、住院天数,降低了术后并发症,同时不增加溃疡复发率。结论开腹单纯穿孔修补术及术后抑酸、根除幽门螺旋杆菌治疗的效果满意,是基层医院易掌握推广的有效治疗手段。Objective To compare the long-term results in patients with acute perforated gastroduodenal ulcer treated by different surgical methods. Methods One hundred and fifty seven patients with acute perforated gastroduodenal ulcer in hospital from January 2004 to July 2009 were observed. One hundred and one patients were treated by simple neoplasty plus gastric acid suppression and helicobacter pylori eradication, and 56 patients were treated by subtotal gastrectomy. Results The cure rate of ulcer was 100~//00 at three months after surgery, and there were 15 patients （9.6~~） with ulcer recurrence during follow- up period. The group treated by simple neoplasty significantly reduced the operation time, days in hospital and postoperative complications, with no-increasing ulcer recurence. Conclusion The results of simple neoplasty plus gastric acid suppression and helicobacter pylori eradication is satisfactory. The therapeutic tool is effective and easy to use in basic hospital.

关 键 词：胃十二脂肠溃疡 穿孔 外科手术 疗效 

分 类 号：R656.6[医药卫生—外科学]