Bachev I I
Klin Med (Mosk). 1992 Feb;70(2):88-91.
A total of 980 patients operated on for peptic ulcer of the stomach and duodenum were followed up. Out of them 784 (80%) patients had complications: 273 (27.9%)--perforations, 263 (26.8%)--bleedings, 165 (16.8%)--stenosis, 67 (6.8%)--penetration, 16 (1.6%)--malignant transformation of the ulcer, the rest of them, 19 (20%) patients, had chronic callous ulcers. Factors of risk for complications associated with peptic ulcer were indicated. Timely planned surgical intervention advancing the development of severe complications is found to be necessary for the improvement of the therapeutic response.
对980例接受胃和十二指肠消化性溃疡手术的患者进行了随访。其中784例(80%)患者出现并发症:273例(27.9%)——穿孔,263例(26.8%)——出血,165例(16.8%)——狭窄,67例(6.8%)——穿透,16例(1.6%)——溃疡恶变,其余19例(2%)患者患有慢性硬结性溃疡。指出了与消化性溃疡相关的并发症危险因素。发现及时进行有计划的手术干预以延缓严重并发症的发展对于改善治疗反应是必要的。