[胃溃疡穿孔的外科治疗]

[Surgical treatment of perforated gastric ulcer].

作者信息

Korica Milan, Petaković Goran, Gavrilović Sava

机构信息

Klinicki centar Novi Sad, Klinika za abdominalnu i endokrinu hirurgiju, 21000 Novi Sad, Hajduk Veljkova 1-3.

出版信息

Med Pregl. 2002 Nov-Dec;55(11-12):513-6. doi: 10.2298/mpns0212513k.

DOI:10.2298/mpns0212513k

PMID:12712896

Abstract

INTRODUCTION

Peptic ulcer perforation is a complication of ulcer disease which requires urgent surgical treatment. The aim of this paper was to point out our experience in surgical treatment of perforated peptic ulcer.

MATERIAL AND METHODS

This retrospective study analyzes results of surgical treatment in 365 patients with perforated peptic ulcer during the period January 1996 to December 2000.

RESULTS

During the last 5-year period 365 patients were treated following peptic ulcer perforation. The average age was 43.53 +/- 8.26, with the span from 18 to 86. The most frequent surgical procedures in treatment of peptic ulcer perforation were: simple closure with biopsy (55.88%), excision of the ulcer with a pyloroplasty and vagotomy (35.29%) as nonresection surgical procedures and stomach resection after Billroth II (8.83%). The postoperative mortality was 4.41%.

CONCLUSIONS

The methods of choice in surgical treatment of gastric ulcer perforation are nonresection surgical procedures with drug therapy and eradication of Helicobacter pylori, if present.

摘要

引言

消化性溃疡穿孔是溃疡病的一种并发症，需要紧急手术治疗。本文旨在阐述我们在消化性溃疡穿孔手术治疗方面的经验。

材料与方法

这项回顾性研究分析了1996年1月至2000年12月期间365例消化性溃疡穿孔患者的手术治疗结果。

结果

在过去5年期间，365例患者接受了消化性溃疡穿孔治疗。平均年龄为43.53±8.26岁，年龄范围为18至86岁。治疗消化性溃疡穿孔最常用的手术方法是：单纯缝合活检（55.88%）、溃疡切除加幽门成形术和迷走神经切断术（35.29%）作为非切除性手术，以及毕罗Ⅱ式胃切除（8.83%）。术后死亡率为4.41%。