根治性手术治疗消化性溃疡急性穿孔86例临床分析
消化性溃疡；急性穿孔；选择性；胃大部切除；根治性治疗,,消化性溃疡；急性穿孔；选择性；胃大部切除；根治性治疗,【摘要】,【关键词】,1资料与方法
【摘要】 目的 探讨消化性溃疡急性穿孔的治疗方法，旨在提高Ⅰ期手术治愈的成功率。方法 回顾性总结分析20年间手术治疗消化性溃疡急性穿孔208例，其中86例(41.35%)采用胃大部连同病灶切除Ⅰ期治愈，胃肠重建采用BillrothⅠ式吻合18例(20.93%)，BillrothⅡ式吻合68例(79.07%)，BillrothⅡ式结肠前吻合42例(61.76%)，结肠后吻合26例(38.24%)。结果 86例中除1例BillrothⅡ式吻合术后发生胃瘫并发症，经保守治疗月余治愈外，其余病例术后恢复顺利，均随访5年以上情况良好。结论 消化性溃疡急性穿孔的Ⅰ期手术治疗，解决了因溃疡穿孔单行修补术后再次复发穿孔、出血、幽门梗阻、粘连、溃疡恶变而重复手术等问题，缩短了治愈周期，提高了生存质量。【关键词】 消化性溃疡；急性穿孔；选择性；胃大部切除；根治性治疗
A radical operation for acute perforation of peptic ulcer:a report of 86 cases
HU Dengkui,DUAN Yuanguang.Department of Surgery,The TCM Hospital of Wusheng,Sichuan 638400,China
【Abstract】 Objective To discuss treatment of acute perforation of peptic ulcer,to elevate I stage operation recovery rate.Methods 208 cases in 20 years were retrospectively analysed,86 cases (41.35%) were recovered by subtotal gastrectomy;18 cases (20.93%) were undergone Billroth I anastomosis;68 cases (79.07%) Billroth Ⅱ;42 cases (61.76%) Billroth Ⅱ precolonic anastomosis;26 cases (38.24%) retrocolic anastomosis.Results In 86 cases,1 case was complicated by gastroparesis,others all recovered.All cases were followed up for 5 years.Conclusion The procedure can shorten the recovery time and increase quality of life. ......
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