Braun L
Chirurgische Klinik, Kreiskrankenhauses Detmold.
Chirurg. 1991 Sep;62(9):681-5.
Between 6/1974 and 12/1988 910 patients with peptic ulcer disease have been treated operatively. In 523 cases a resection, gastroenterostomy resp. ligation of a bleeding ulcer, in 160 cases with duodenal ulcers a vagotomy, and in 227 cases with perforated ulcers simple closure or primary resection have been performed. During this study the percentage of female patients rose from 32.0 to 39.7. There was also an increase of the mean age of the patients. Operative mortality rate was 7.3% for resection, GE resp. ligation of a bleeding vessel, 0.6% for vagotomies, and 16.3% for perforated ulcers. The fate of all patients was followed regularly. In patients operated before 1985--with a follow-up of 5-16 years--reoperations were necessary in 6.0% following resection, gastroenterostomy resp. ligation, in 7.7% following vagotomy, and in 21.3% following simple closure or primary resection of a perforated ulcer.
1974年6月至1988年12月期间，910例消化性溃疡患者接受了手术治疗。其中523例行切除术、胃肠吻合术或出血性溃疡结扎术；160例十二指肠溃疡患者行迷走神经切断术；227例穿孔性溃疡患者行单纯缝合术或一期切除术。在本研究期间，女性患者的比例从32.0%上升至39.7%。患者的平均年龄也有所增加。切除术、胃肠吻合术或出血血管结扎术的手术死亡率为7.3%，迷走神经切断术为0.6%，穿孔性溃疡为16.3%。对所有患者的病情转归进行了定期随访。在1985年前接受手术的患者中（随访5 - 16年），切除术后、胃肠吻合术或结扎术后有6.0%需要再次手术，迷走神经切断术后有7.7%需要再次手术，穿孔性溃疡单纯缝合术或一期切除术后有21.3%需要再次手术。
