溃疡切除加幽门成形术治疗十二指肠巨大溃疡穿孔疗效观察  

Observation on Effect of Ulcer Excision Plus Pyloroplasty in Treatment of Acute Perforation of Duodenal Tremendous Ulcer

作　　者：喻逢春 周建新 时文晓 

机构地区：[1]广东省东莞市麻涌医院外科,广东东莞523142

出　　处：《临床医学工程》2013年第7期802-803,共2页Clinical Medicine & Engineering

基　　金：广东省东莞市科技计划项目(201110515019126)

摘　　要：目的探讨两种不同的方法治疗十二指肠巨大溃疡急性穿孔的临床效果。方法将2000年1月至2012年6月间在我院住院治疗的十二指肠巨大溃疡急性穿孔患者60例分为观察组和对照组,每组30人。观察组给予十二指肠巨大溃疡切除加幽门成形术并配合正规药物治疗,对照组给予单纯修补术配合正规药物治疗,随访治疗效果。结果观察组患者住院时间、术后并发症及溃疡复发率方面明显低于对照组,两组比较差异具有统计学意义(P<0.05)。结论十二指肠巨大溃疡切除加幽门成形术并配合正规药物治疗是十二指肠巨大溃疡穿孔的有效治疗方法。Objective To investigate the effect of two operation methods in the treatment of acute perforation of duodenal tremendous ulcers. Methods Sixty patients with acute perforation of duodenal tremendous ulcers in our hospital from January 2000 to June 2012 were divided into observation group and control group, with 30 cases in each group. The observation group received the treatment of duodenum tremendous ulcer excision plus pyloroplasty combined with pharmacotherapy, and the control group received simple kposthesis combined with pharmacotherapy. Results The hospitalization time, postoperative complications and recurrence rate of ulcer in the observation group were superior to that in the control group, with significant difference （P〈0.05）. Conclusion Duodenum tremendous ulcer excision plus pyloroplasty and coordination with regular medical treatment is an effective treatment for perforation of duodenal tremendous ulcer.

关 键 词：十二指肠巨大溃疡穿孔 溃疡切除 幽门成形术 单纯修补术 

分 类 号：R574.51[医药卫生—消化系统]