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[溃疡性幽门十二指肠狭窄的手术策略]

[Surgical tactics in ulcerous pyloroduodenal stenosis].

作者信息

Myshkin K I, Frankfurt L A, Teknedzhian M A

出版信息

Khirurgiia (Mosk). 1989 Oct(10):3-9.

PMID:2593569
Abstract

The authors generalize their experience in the treatment of 528 patients with ulcerous pyloroduodenal stenosis, who accounted for 19.3% of all patients who were operated on and for 29.8% of those with complicated forms of peptic ulcer. All the patients underwent operation after brief (2-3 days) replacement of hydrogen ion deficiencies. Resection of the stomach was carried out in 418 patients, organ-preserving operations-in 102, gastroenteroanastomosis-in 8 patients. Total mortality was 2.5%. There were no fatal outcomes in organ-preserving operations. The incidence of postoperative gastric atony was 6.1% after organ-preserving operations and 4.9% after resection of the stomach.

摘要

作者总结了他们治疗528例溃疡性幽门十二指肠狭窄患者的经验,这些患者占所有接受手术患者的19.3%,占消化性溃疡复杂形式患者的29.8%。所有患者在短暂(2 - 3天)纠正氢离子缺乏后接受手术。418例患者行胃切除术,102例患者行保留器官手术,8例患者行胃肠吻合术。总死亡率为2.5%。保留器官手术无死亡病例。保留器官手术后胃瘫的发生率为6.1%,胃切除术后为4.9%。

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