胃十二指肠穿孔保守治疗闭合后穿孔病因的早期诊断  

Early gastroscopy after closure of gastroduodenal perforation by conservative treatment

作　　者：陈钢[1] 刘业星[1] 庄哲宏[1] 张剑宝[1] 何葵 梁智浩 

机构地区：[1]深圳市第四人民医院(深圳市福田人民医院)胃肠外科,518033

出　　处：《中华普通外科杂志》2016年第4期316-318,共3页Chinese Journal of General Surgery

基　　金：深圳市科技计划基金资助项目（200703145）

摘　　要：目的探讨胃十二指肠穿孔非手术治疗后穿孔病因的早期诊断。方法回顾性分析深圳市第四人民医院2000年1月至2015年8月间收治的284例疑似诊断为胃十二指肠溃疡穿孔而行非手术治疗的胃十二指肠穿孔患者，制定相关适应证和确定检查时机，通过早期胃镜检查等措施确诊穿孔病因。结果本组接受胃镜检查284例患者中确诊胃十二指肠溃疡277例（97．5％），胃癌3例（1．1％），十二指肠憩室1例（0．4％）。受检者均无胃镜检查相关并发症。对确诊胃十二指肠溃疡者给予药物治疗，对7例穿孔病因有手术指征者实施了早期手术治疗。结论胃十二指肠穿孔患者非手术治疗后通过早期胃镜检查能够安全地确诊胃十二指肠穿孔病因。并及时进行有针对性病因治疗。Objective To evaluate early diagnosis by gastroscopy for the causes of gastroduodenal perforation after successful non-surgical treatment. Method Gastroduodenal perforation patients suspected of benign ulcer in origin on hospital admission undergoing successful non-surgical treatment were examined by gastroscopy within days after the closure. Results Among 284 patients undergoing gastroscopy, 277 cases （97.5%） were diagnosed as gastroduodenal ulcer, 3 cases （ 1.1% ） as gastric carcinoma, 1 case （0.4%） of duodenal diverticulum. There were not major complications developing after gastroscopy. Conclusion Early gastroscopy performed after closure by non-surgical treatment in gastroduodenal perforation patients is safe, helping make definite diagnosis for the cause of perforation.

关 键 词：消化性溃疡穿孔 胃镜检查 

分 类 号：R656.6[医药卫生—外科学]