Sotnikov V N
Ter Arkh. 1985;57(2):49-52.
The author reviews the results of the local treatment of 142 patients for peptic ulcer of the stomach (24 patients) and duodenum (67 patients). In 51 cases, symptomatic ulcers were diagnosed. Use was made of a complex of surgical and therapeutic endoscopic interventions. The local treatment of gastroduodenal ulcers made it possible to attain positive results with a complete ulcer cicatrization and disappearance of the clinical symptom-complex in 105 (83.3%) out of the 142 patients. The effect was transient in 24 (16.3%) patients. The ulcer did not heal in 13 (9.1%) patients. The follow up studies for 2 to 5 years revealed no relapses in 79.5% of patients. No complications were recorded. Indications and contraindications as to the therapeutic endoscopy were determined with regard to the clinical and esophagogastroduodenoscopy data and histological examination of biopsy material.
作者回顾了142例胃(24例)和十二指肠(67例)消化性溃疡患者的局部治疗结果。其中51例为症状性溃疡。采用了手术和治疗性内镜干预相结合的方法。胃十二指肠溃疡的局部治疗使142例患者中的105例(83.3%)获得了积极效果,溃疡完全瘢痕化且临床症状复合体消失。24例(16.3%)患者的效果是短暂的。13例(9.1%)患者的溃疡未愈合。2至5年的随访研究显示,79.5%的患者无复发。未记录到并发症。根据临床、食管胃十二指肠镜检查数据以及活检材料的组织学检查确定了治疗性内镜检查的适应证和禁忌证。