选择性急症胃大部切除术治疗消化性溃疡穿孔分析

Experience of selective subtotal gastrectomy for 40 cases of acute peptic ulcer perforation

目的 :探讨急症胃大部切除术在治疗消化性溃疡穿孔中的作用。方法 :在 4 8例消化性溃疡穿孔患者中选择采用急症胃大部切除术 4 0例的临床资料进行了回顾性分析。结果 :在选择性采用急症胃大部切除术的 4 0例中 ,无死亡 ,亦无术后大出血、残端瘘、吻合口瘘及输入、输出袢梗阻、倾倒综合症等严重并发症发生 ,仅有 4例切口感染。经随访 1年至 5年 ,有 3例碱性返流性胃炎 ,经保守治疗明显好转 ,无溃疡复发者 ,无再入院手术者。结论 :对拟诊为消化性溃疡穿孔的患者 ,在尽量完善术前检查及准备的基础上 ,选择性采用急症胃大部切除术 ,疗效确切 。

Objective:To evaluate the subtotal gastrectomy for the acute perforation of peptic ulcer.Methods:The clinical date of 48 cases of acute perforation of peptic ulcer were analysed retrospectively.8 cases underwent simple neopladty,40 cases recieved subtotal gastrectomy. Result:There was no portality,no severe acomplication in gastrectomy group.All the patients were followed from 1 to 5 years,and no case had peptic ulcer reccurrence.Conclusion:On the base of perfect examinations and preparatis,the selective subtotal gastrectomy is an effective and reliable method for patients suffering from acute peptic ulcer perfortion.