摘要
目的探讨手术治疗老年消化性溃疡穿孔患者的临床疗效.方法75例消化性溃疡急性穿孔老年患者,根据治疗方式分为保守治疗组33例和手术治疗组42例.观察2组溃疡愈合情况.术后随访,观察穿孔复发和并发症发生情况.结果手术治疗组患者死亡3例,保守治疗组1例因大出血转为手术治疗.溃疡愈合率手术治疗组为90.0%(36/40),保守治疗组为84.4%(27/32),2组比较差异无统计学意义(P>0.05);2组患者1年和2年穿孔复发率差异无统计学意义(P>0.05);2组术后消化道出血、幽门梗阻和癌变发生率差异无统计学意义(P>0.05).结论老年消化性溃疡穿孔治疗应根据患者自身情况选择合适方式.
Objective To explore the effect of surgical therapy on peptic ulcer with perforation in elderly patients.Methods A total of 75 elderly patients with peptic ulcer combined perforation were divided into conservative treatment group(n=33)and surgical treatment group(n=42).The quality of ulcer healing,recurrence of perforation and complication were observed by follow up.Results Three cases was dead from multiple organ failure in surgical treatment.One case in conservation group transferred to surgical therapy as massive haemorhage.The ulcer healing rate was 90.0%in surgical therapy group and 84.4%in conservation group,with no significant difference(P>0.05).There was no significant difference in incidence of perforation recurrence between two groups 1 and 2 years after(P>0.05),so were the incidence of gastrointestinal bleeding,pyloric obstruction cancerization(P>0.05).Conclusion The treatment for elderly patients with peptic ulcer and perforation should be selected properly.
作者
刘绍群
曹奕鸥
LIU Shaoqun;Cao Yiou(Department of general surgery,Minhang district Central Hospital,Shanghai 201100,China)
出处
《山东大学学报（医学版）》
CAS
北大核心
2014年第S01期71-72,74,共3页
Journal of Shandong University:Health Sciences
关键词
消化性溃疡
穿孔
手术
保守治疗
Peptic ulcer
Perforation
Surgery,Conservational therapy
作者简介
通讯作者:曹奕鸥,E-mail:lmyyx123@126.com
