CAJ | 학술논문

目的探讨合并十二指肠球部溃疡的杜氏病(Dieulafoy病)诊治要点.方法复习合并十二指肠球部溃疡的杜氏病19例临床资料.结果 11例剖腹探查时遗漏了杜氏病病灶而仅行胃大部切除术,术后再出血.19例中经术前胃镜确诊8例.胃内发现血块4例.结论合并十二指肠球部溃疡的杜氏病容易遗漏,手术中发现十二指肠球部溃疡无明显活动性出血时,不能忽视其他微小病变的存在.术前胃镜和术中探查在杜氏病消化道出血的定位诊断中起重要作用.
목적 탐토합병십이지장구부궤양적두씨병(Dieulafoy병)진치요점.방법 복습합병십이지장구부궤양적두씨병19례림상자료.결과 11례부복탐사시유루료두씨병병조이부행위대부절제술,술후재출혈.19례중경술전위경학진8례.위내발현혈괴4례.결론 합병십이지장구부궤양적두씨병용역유루,수술중발현십이지장구부궤양무명현활동성출혈시,불능홀시기타미소병변적존재.술전위경화술중탐사재두씨병소화도출혈적정위진단중기중요작용.
Objective To summarize the diagnosis and treating experience of Dieulafoy complicating duodenobulbar ulcer. Method 19cases of Gastric Dieulafoy complicating duodenobulbar ulcer diagnosed in our hospital in the past 10 years were retrospectively analyzed. Results 11 cases were omitted by mistake the lesion of Gastric Dieulafoy when undergoing exploratory laparotomy in other hospital and were perfumed subtotal gastrectomy only,followed rehaemorrhagia postoperatively. 8 cases were diagnosed by gastroscopy, and cruor were detected in the stomach in 4 cases. Conclusions Gastric Dieulafoy complicating duodenobulbar ulcer is omitted by mistake very easy. The genuine hemorrhagic focus should be confirmed when detecting duodenobulbar ulcer combined without active bleeding in the operation. Other minimal lesion should not be neglected. Preoperative gastroscopy and intraoperative exploration play an important role in localization diagnosis.