改良式消化性溃疡穿孔修补术治疗消化性溃疡穿孔68例  

Sixty-eight cases of modified surgical repair of peptic ulcer perforation

作　　者：张保远[1] 曹素琴[1] 

机构地区：[1]河南省获嘉县人民医院普外科,453800

出　　处：《中国实用医刊》2015年第15期84-86,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨改良式消化性溃疡穿孔修补术治疗消化性溃疡穿孔的临床效果。方法选择2011年6月至2013年6月收治的消化性溃疡穿孔患者68例，其中胃溃疡穿孔30例、十二指肠溃疡穿孔38例，均给予改良式消化性溃疡穿孔修补手术治疗。结果68例患者手术时间（50．2±2．5）min；术后平均住院（8．2±1．1）d；术后随访3—6个月，其中1例在术后2个月时胃窦癌晚期死亡，1例并发膈下脓肿在经引流管充分引流后痊愈。3例在术后6个月内复发，复发率为4．41％，其中2例经内科保守治疗后痊愈，另1例在内科治疗无效后进行胃大部分切除手术治疗痊愈。其余63例溃疡穿孔均经一次改良修补术成功治愈，一次性修补术治愈成功率为92．65％。结论改良式消化性溃疡穿孔修补术在消化性溃疡穿孔患者治疗中疗效较好，且操作简单可行、复发率低，值得临床推广使用。Objective To investigate clinical efficacy of modified surgical repair on peptic ulcer perforation. Methods From June 2011 to June 2013, sixty-eight patierlts with peptic ulcer perforation in our hospital were selected as study group, including 30 cases of gastric ulcer perforation and 38 cases of duodenal ulcer perforation, the patients were trated by modified surgical repair. The data of the operation were reviewed and the clinical application value of the modi- fied repair were summarized. Results The operation time was （ 50. 2 ± 2. 5 ） rain, post-operative hospitalization was （8.2 ±1. 1 ） d, postoperative follow-up was 3 -6 months, 1 eases of late gastric antrum cancer died at postoperative 2 months, lease of concurrent diaphrag-matic drainage of abscess in the drainage tube fully recovered. Three cases recurrecl after surgery for 6 months, the recurrence rate was 4.41%, 2 cases recovered after the medicine conservative treatment, another 1 case after medical treatment was invalid for most gastric resection surgery recovery . The rest of the 63 cases of ulcer perforation were cured by surgical repair of a modified success, one-time repair cure rate was 92.65 %. Conchusions Improved surgical repair of peptic ulcer perforation has good curative effect on patients with peptic ulcer perforation, and the operation is simple, recurrence rate is low, so it is worthy to be popularized.

关 键 词：改良式修补术 消化性溃疡穿孔 临床效果 

分 类 号：R656.62[医药卫生—外科学]