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目的探讨基层医院胃十二指肠溃疡急性穿孔的诊断和治疗方法。方法对我院外科1996年1月至2006年12月收治的64例胃十二指肠溃疡急性穿孔患者的临床资料进行回顾性分析。结果6例保守治疗(其中2例因治疗无效中转手术治疗),60例行手术治疗。其中28例行单纯穿孔修补术,32例行胃大部分切除术。死亡1例。治愈率98.4%。结论胃大部切除术是基层医院常用治疗胃十二指肠溃疡穿孔的手术。然而,溃疡穿孔修补+扩大壁细胞的迷走神经切除术术后疗效好,并发症少,手术操作易于掌握,值得在基层医院开展使用。
Objective To investigate the diagnosis and treatment of acute perforation of gastroduodenal ulcer in primary hospital. Methods The clinical data of 64 patients with acute gastroduodenal ulcer perforation admitted to our hospital from January 1996 to December 2006 were analyzed retrospectively. Results 6 cases of conservative treatment (of which 2 cases due to ineffective transit surgery), 60 cases were treated surgically. Among them, 28 cases underwent simple perforation repair and 32 cases underwent partial gastrectomy. 1 case of death. The cure rate was 98.4%. Conclusion Subtotal gastrectomy is a commonly used operation in the treatment of perforation of gastroduodenal ulcer in primary hospitals. However, ulcer perforation repair + expansion of parietal cells of vagotomy after the curative effect is good, fewer complications, surgical operation is easy to grasp, it is worth carrying out the use of primary hospital.