中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
15期
84-86
,共3页
改良式修补术%消化性溃疡穿孔%临床效果
改良式脩補術%消化性潰瘍穿孔%臨床效果
개량식수보술%소화성궤양천공%림상효과
Modified surgical repair%Peptic ulcer perforation%Clinical efficacy
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。
目的：探討改良式消化性潰瘍穿孔脩補術治療消化性潰瘍穿孔的臨床效果。方法選擇2011年6月至2013年6月收治的消化性潰瘍穿孔患者68例，其中胃潰瘍穿孔30例、十二指腸潰瘍穿孔38例，均給予改良式消化性潰瘍穿孔脩補手術治療。結果68例患者手術時間（50.2±2.5）min；術後平均住院（8.2±1.1）d；術後隨訪3~6箇月，其中1例在術後2箇月時胃竇癌晚期死亡，1例併髮膈下膿腫在經引流管充分引流後痊愈。3例在術後6箇月內複髮，複髮率為4.41%，其中2例經內科保守治療後痊愈，另1例在內科治療無效後進行胃大部分切除手術治療痊愈。其餘63例潰瘍穿孔均經一次改良脩補術成功治愈，一次性脩補術治愈成功率為92.65%。結論改良式消化性潰瘍穿孔脩補術在消化性潰瘍穿孔患者治療中療效較好，且操作簡單可行、複髮率低，值得臨床推廣使用。
목적：탐토개량식소화성궤양천공수보술치료소화성궤양천공적림상효과。방법선택2011년6월지2013년6월수치적소화성궤양천공환자68례，기중위궤양천공30례、십이지장궤양천공38례，균급여개량식소화성궤양천공수보수술치료。결과68례환자수술시간（50.2±2.5）min；술후평균주원（8.2±1.1）d；술후수방3~6개월，기중1례재술후2개월시위두암만기사망，1례병발격하농종재경인류관충분인류후전유。3례재술후6개월내복발，복발솔위4.41%，기중2례경내과보수치료후전유，령1례재내과치료무효후진행위대부분절제수술치료전유。기여63례궤양천공균경일차개량수보술성공치유，일차성수보술치유성공솔위92.65%。결론개량식소화성궤양천공수보술재소화성궤양천공환자치료중료효교호，차조작간단가행、복발솔저，치득림상추엄사용。
Objective To investigate clinical efficacy of modified surgical repair on peptic ulcer perforation. Methods From June 2011 to June 2013,sixty-eight patients 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 treated 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)min,post-operative hospitalization was (8. 2 ± 1. 1 ) d,postoperative follow-up was 3 ~ 6 months,1 cases of late gastric antrum cancer died at postoperative 2 months,1case of concurrent diaphrag-matic drainage of abscess in the drainage tube fully recovered. Three cases recurrecl after surgery for 6 months,the recur-rence 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%. Conclusions Improved surgical repair of peptic ul-cer 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.
