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[术后消化性溃疡的外科治疗]

[Surgical treatment of postoperative peptic ulcer].

作者信息

Ferrara L, Fontana V, Garavoglia M, Mioli P R, Fronticelli C M

出版信息

Minerva Chir. 1976 Jun 15;31(11):640-61.

PMID:1018787
Abstract

The literature on postoperative peptic ulcer is reviewed and cases observed in the Department of Surgical Anatomy and Operations Course of Turin University in the period 1-I-1968 - 31-III-1975 are presented. 183 operations for primary gastro-duodenal ulcer were carried out. A variety of techniques was employed, including 138 gastric resections using a modified Billroth II technique, with a recurrence of 1.3% encountered only in patients in the specified group. 15 reoperations for postoperative peptic ulcer were performed with the following result: very good in 7 cases, good in 6, and 2 postoperative deaths. The two deaths concerned a simple gastric reconversion and a gastric re-resection with gastro-jejuno-anastomosis. The personal series confirms the statistics presented by numerous foreign workers.

摘要

本文回顾了有关术后消化性溃疡的文献,并介绍了都灵大学外科解剖与手术课程部在1968年1月1日至1975年3月31日期间观察到的病例。共进行了183例原发性胃十二指肠溃疡手术。采用了多种技术,包括138例使用改良毕罗Ⅱ式技术的胃切除术,仅在特定组的患者中发现1.3%的复发率。对术后消化性溃疡进行了15次再次手术,结果如下:7例非常好,6例良好,2例术后死亡。这两例死亡分别涉及一次单纯的胃改道手术和一次胃再次切除加胃空肠吻合术。个人病例系列证实了许多国外研究者所提供的统计数据。

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