国际医药卫生导报2010，Vol.16Issue(18)：2243-2245,3.DOI:10.3760/cma.j.issn.1007-1245.2010.18.018
影响胃十二指肠溃疡穿孔修补术后近期再穿孔的相关因素分析
The influencing factors for reperforation after surgical repair of gastroduodenal ulcer perforation
谭锦华 1陈汝昌 2罗毅3
作者信息
- 1. 523980,东莞市沙田医院外科
- 2. 523980,东莞市太平人民医院外科
- 3. 523980,东莞市厚街医院外科
- 折叠
摘要
Abstract
Objective To explore the influencing factors for reperforation after surgical repair of perforated gastroduodenal ulcer. Methods 25 patients with reperforation after repair of perforated gastroduodenal ulcer in three hospitals in the past ten years were analyzed retrospectively;and 25 patients without perforation were randomly selected. The influencing factors of reperforation were compared and then analyzed statistically using the Spss 13.0. P＜0.05 had significant differences. Results The high-risk factors for influencing reperforation were people aged 60 or older;coexiting diseases including diabetes mellitus,cirrhosis,cor pulmonale,and hypertension;prolonged perforation (equal to or longer than 24 hours);larger perforation (diameter equal to or longer than one centimeter);and obvious scars around the perforated area. Conclusions For the high-risk patients,surgical procedures should be improved to prevent reperforation. If the patient conditions are allowed,subtotal gastrectomy can be performed. The patients generally can be cured by palliative treatment after the occurrence of reperforation.关键词
胃十二指肠溃疡穿孔/修补/术后近期再穿孔Key words
Gastroduodenal ulcer perforation/Repair/,Reperforation after repair引用本文复制引用
谭锦华,陈汝昌,罗毅..影响胃十二指肠溃疡穿孔修补术后近期再穿孔的相关因素分析[J].国际医药卫生导报,2010,16(18):2243-2245,3.
