胃十二指肠溃疡远端胃部分切除术  

Distal Gastrectomy of Gastric and Duodenal Ulcer

作　　者：陈中成 

机构地区：[1]黑龙江省新建监狱医院,黑龙江哈尔滨150000

出　　处：《中国卫生标准管理》2014年第24期135-137,共3页China Health Standard Management

摘　　要：目的探讨胃十二指肠溃疡患者行胃部分切除术治疗效果。方法对30例胃十二指肠溃疡患者行远端胃部分切除术治疗资料进行分析。结果 30例十二指肠患者Billroth I式10例,Billroth II式20例,重建手术时间40-90 min。吻合口溃疡2例,反流性胃炎1例,残胃炎4例,经治疗所有患者均痊愈出院。结论胃十二指肠溃疡常用的手术方式是远端胃大部切除术,Billroth I式胃十二指肠吻合或Billroth I式胃空肠吻合重建,具体视切除的范围和十二指肠残端的情况而定。Objective The distal gastrectomy effect on patients with gastric and duodenal ulcer to be investigated. Methods Analyze the treatment data selected from 30 patients with gastric and duodenal ulcer who are operated with distal gastrectomy. Results Among 30 patients, 10 patients with duodenal ulcer are categorized into Billroth I Type, and the other 20 patients are categorized into Billroth II Type, the operation reconstruction time is from 40 minutes to 90 minutes. And there are two cases of anastomotic ulcer, one case of reflux gastric and 4 cases of residual gastritis. All of patients are cured and discharged from hospital after treatment. Conclusion The distal gastrectomy, gastric and duodenal anastomosis of Billroth I Type or gastrojejunostomy reconstruction of Billroth II Type is the common surgical method to cure gastric and duodenal ulcer, the choice of the surgical method is determined by resection scope and duodenal stump condition.

关 键 词：胃部分切除术 胃十二指肠溃疡 远端胃切除术 

分 类 号：R656.61[医药卫生—外科学]