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[消化性溃疡及胃肠吻合口溃疡的重建手术]

[Reconstructive surgery of peptic ulcer and ulceration of the gastroenteric anastomosis].

作者信息

Chekmazov I A, Nikolaev N O

出版信息

Vestn Khir Im I I Grek. 1989 Oct;143(10):20-5.

PMID:2631346
Abstract

An experience with treatment of 177 patients has shown that peptic ulcers are a severe pathology with a pronounced pain syndrome and early development of complications. They are subject to operative treatment after thorough examination and a course of antiulcer therapy during 4-5 weeks before operation. Reconstructive resection of the stomach in combination with truncal vagotomy is thought to be most radical for peptic ulcer. Lethality after reconstructive operations was 5.5%. Trophic ulcers of the gastrointestinal anastomosis is subject to operative treatment but in cases of the presence of other postresection disorders requiring surgical treatment.

摘要

对177例患者的治疗经验表明,消化性溃疡是一种严重的病理状况,伴有明显的疼痛综合征且并发症发展较早。在进行全面检查以及术前4至5周的抗溃疡治疗疗程后,它们需要接受手术治疗。胃重建切除术联合迷走神经干切断术被认为是治疗消化性溃疡最彻底的方法。重建手术后的死亡率为5.5%。胃肠吻合口的营养性溃疡需接受手术治疗,但前提是存在其他需要手术治疗的切除后病症。

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