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我院使用体外反搏(ECP)治疗难治性胃溃疡32例,取得满意疗效。本组患者均经纤维胃镜检查确诊为胃溃疡,经服用甲氰咪胍治疗而未获得明显疗效。该组病人中,男24人,女8人;年龄最大54岁,最小23岁;病史最长25年,最短3年。治疗前均重新经纤维胃镜检查确诊。每例溃疡取活体组织4块病检,均能除外恶性病变。以张开的活检钳口测量溃疡面的长、宽度。溃疡面最大3.5×5cm,最小1.5×2cm,均为A1期,无合并症。
In our hospital, 32 cases of refractory gastric ulcer were treated with ECP, and satisfactory results were obtained. This group of patients diagnosed by gastric endoscopy gastric ulcer, taking cimetidine treatment without significant effect. The group of patients, 24 males and 8 females; the oldest 54 years old, minimum 23 years old; the longest history of 25 years, the shortest 3 years. Before treatment, re-diagnosed by gastroscopy. Each ulcer take 4 biopsy specimens of living tissues, except for malignant lesions. To open the biopsy jaw ulcer surface measurement of the length and width. The largest ulcer 3.5 × 5cm, the smallest 1.5 × 2cm, are A1, no complications.