Haaverstad R, Moen O O, Kannelønning K S, Line P D, Wibe A, Bjerkeset T
Kirurgisk avdeling, Namdal sykehus, Namsos.
Tidsskr Nor Laegeforen. 1994 Mar 20;114(8):904-7.
During recent decades the number of operations for peptic ulcer has decreased significantly. The incidence of operations for peptic ulcer or related complications during the period 1975-89 in persons older than 15 years was investigated in the Nord-Trøndelag region of Norway, with a population of approximately 100,000. The number of elective surgical procedures decreased by 72% from 1975 to 1989. The greatest reduction was found for duodenal ulcers. The incidence of acute operations decreased by 35%. The main reason was fewer surgical interventions in patients with haemorrhage, since the number of operations for perforation remained almost constant during the period of 15 years. The reduction in surgical treatment can be explained mainly by the introduction of new H2-antagonists in the seventies, leading to more successful pharmacological treatment of peptic ulcer.
在最近几十年中，消化性溃疡手术的数量显著减少。对挪威北特伦德拉格地区15岁以上人群在1975年至1989年期间进行消化性溃疡或相关并发症手术的发生率进行了调查，该地区人口约为10万。择期手术数量从1975年到1989年减少了72%。十二指肠溃疡的减少最为明显。急诊手术的发生率下降了35%。主要原因是对出血患者的手术干预减少，因为在15年期间穿孔手术的数量几乎保持不变。手术治疗的减少主要可以用70年代引入新的H2拮抗剂来解释，这使得消化性溃疡的药物治疗更加成功。
