Pantsyrev Iu M, Mikhalëv A I, Fedorov E D
Khirurgiia (Mosk). 2003(3):43-9.
Twelve-year experience of surgical treatment of gastroduodenal ulcers complicated by perforation and bleeding is analyzed. Modern antisecretion and antihelicobacter drugs have changed conception of pathogenesis and treatment of ulcers. Choice of surgical method is the key moment of surgical policy. Perforation and bleeding in ulcer disease are life-threatening complications especially in elderly patients with concomitant diseases. In these patients technical simplicity and tolerance to surgery are very important.
分析了胃十二指肠溃疡穿孔和出血并发症的手术治疗12年经验。现代抗分泌和抗幽门螺杆菌药物改变了溃疡发病机制和治疗的观念。手术方法的选择是手术策略的关键环节。溃疡病的穿孔和出血是危及生命的并发症,尤其是在伴有其他疾病的老年患者中。对于这些患者,手术技术的简单性和对手术的耐受性非常重要。