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[慢性不愈合胃溃疡]

[Chronic non-healing stomach ulcers].

作者信息

Maĭorov V M

出版信息

Ter Arkh. 1985;57(2):43-7.

PMID:4002134
Abstract

Altogether 98 patients with chronic gastric ulcers were followed for many of years. There were more men which marks peptic ulcer including chronic ulcers under consideration. The men were of middle or elderly age, which is linked both with the development of peptic ulcer of the stomach at an older age and with specialized study of the subjects belonging to this age group. In the 48 patients, the ulcers did not heal from several months to 5 years, in 16 from 6 to 10 years, and in 9 over 10 years. Ulcers that do not heal for more than 6 months are regarded chronic. The so-called malignant ulcer is nothing but the existent cancer not recognized in time. Chronic ulcers may heal. The use of reparative agents in patients with such ulcers is ineffective. The healing of these ulcers without a cicatrice or cicatricial lesions is unstable. The surgical treatment of such patients is not a must, and the problem is to be decided with regard to the introduction of new efficacious antiulcerous agents, follow up of patients by a specialist and making gastroscopy with spot biopsy.

摘要

总共98例慢性胃溃疡患者被随访多年。男性患者较多,这是包括所考虑的慢性溃疡在内的消化性溃疡的特征。这些男性为中老年患者,这既与老年时胃消化性溃疡的发生有关,也与对这个年龄组受试者的专门研究有关。在48例患者中,溃疡数月至5年未愈合,16例6至10年未愈合,9例超过10年未愈合。溃疡超过6个月不愈合即被视为慢性溃疡。所谓的恶性溃疡只不过是未及时识别出的现存癌症。慢性溃疡可能愈合。对此类溃疡患者使用修复剂无效。这些溃疡无瘢痕或瘢痕性病变的愈合不稳定。对此类患者进行手术治疗并非必要,问题在于是否引入新的有效抗溃疡药物、由专科医生对患者进行随访以及进行胃镜检查并取组织活检。

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