手术治疗老年消化性溃疡穿孔的临床疗效

山东大学学报（医学版） ›› 2014, Vol. 52 ›› Issue (S1): 71-72.

手术治疗老年消化性溃疡穿孔的临床疗效

刘绍群, 曹奕鸥

上海市闵行区中心医院普外科, 上海 201100

收稿日期:2014-11-30 发布日期:2014-12-30

Clinical effects of surgical therapy on peptic ulcer with perforation in elderly patients

LIU Shaoqun, Cao Yiou

Department of general surgery, Minhang district Central Hospital, Shanghai 201100, China

Received:2014-11-30 Published:2014-12-30
Contact: 曹奕鸥, E-mail:lmyyx123@126.com E-mail:lmyyx123@126.com

摘要/Abstract

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治疗方式。

关键词: 保守治疗, 介入诊疗, 出血, 循环障碍, 手术, 皮肤损伤, 加压止血器, 血肿, 桡动脉, 消化性溃疡, 穿孔

Abstract: 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 haemorrhage. 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.

Key words: Surgery, Conservational therapy, Peptic ulcer, Perforation

中图分类号:

R656

刘绍群, 曹奕鸥. 手术治疗老年消化性溃疡穿孔的临床疗效[J]. 山东大学学报（医学版）, 2014, 52(S1): 71-72.

LIU Shaoqun, Cao Yiou. Clinical effects of surgical therapy on peptic ulcer with perforation in elderly patients[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S1): 71-72.

参考文献

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