Bachev I I
Khirurgiia (Mosk). 1990 Feb(2):66-9.
Operations were carried out on 60 patients with recurrent ulcers after closure of perforated gastroduodenal ulcers (49), resection of the stomach (9), and gastroenterostomy (2). Various complications of the ulcer were encountered in 46 of them. A relationship was found between the recurrence and the inadequacy of antiulcerative therapy after closure of the perforated ulcers. The reoperations consisted in resection (48) and reresection (6) of the stomach and other operations (6). Two (3.3%) patients died after the operation. Resection and reresection of the stomach are the operations of choice in recurrent ulcers.
对60例胃十二指肠溃疡穿孔修补术后复发溃疡患者、胃切除术后复发溃疡患者(9例)及胃肠吻合术后复发溃疡患者(2例)进行了手术。其中46例出现了各种溃疡并发症。发现溃疡复发与穿孔溃疡修补术后抗溃疡治疗不充分有关。再次手术包括胃切除术(48例)、再次胃切除术(6例)及其他手术(6例)。2例(3.3%)患者术后死亡。胃切除及再次胃切除术是复发性溃疡的首选手术方式。