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目的:探讨胃十二指肠溃疡合并胆石症临床处理要点。方法:回顾性临床分析。结来:全组有胃十二指肠溃疡合并胆石症62例。采取胆、胃联合手术35例,其中急性胆道感染控制后1~2周内手术19例,发生感染性并发症4例,术后1年内出现重度贫血5例。结论:应重视本病诊断中漏诊某一疾病的问题;传统手术治疗溃疡病的指征已开始变化;本病治疗应避免胆胃同时急症手术:择期胆胃同时手术不增加术后近期并发症。
Objective: To investigate the clinical treatment of gastroduodenal ulcer complicated by cholelithiasis. Methods: Retrospective clinical analysis. Results: The whole group had gastroduodenal ulcer with cholelithiasis in 62 cases. Thirty-five cases of gallbladder and stomach combined surgery were performed, of which 19 cases were operated within 1 to 2 weeks after the control of acute biliary tract infection, 4 cases of infectious complications occurred, and 5 cases of severe anemia occurred within 1 year after operation. Conclusion: The diagnosis of missed diagnosis of a disease should pay attention to the problem; the traditional surgical treatment of ulcer disease has begun to change indications; the treatment of this disease should be avoided at the same time gallbladder surgery: elective cholecystectomy at the same time does not increase the postoperative complications .