胃十二指肠溃疡穿孔的手术治疗分析

目的：探讨胃十二指肠溃疡穿孔的病因诊断、手术方式及治疗效果．并针对此进行分析。方法：对医院60例胃十二指肠溃疡穿孔手术治疗的临床资料进行回顾性总结、分析。结果：15例进行非手术治疗，其总治愈率为66．7％。45例进行手术治疗，其总治愈率为97．8％，其中35例行穿孔缝合修补术，9例行胃大部切除结肠前胃空肠吻合术。1例行胃癌根治术。结论：选择非手术治疗较安全，尤其是对高龄和有重要器官并发症等手术危险性较大者．尤为适合。必要时应用手术是治疗胃十二指肠溃疡穿孔十分有效的方法，提早诊断、及时手术是治疗该病的关键。其中单纯穿孔修补术是一种疗效确切、保证患者生活质量的行之有效的治疗方法。

The analysis of stomach surgery for perforated duodenal ulcer

Objective： To investigate the cause of perforation of gastroduodenal ulcer diagnosis, and treatment of surgical results, and analysis to that. Methods： 60 cases in a hospital surgical treatment of gastroduodenal ulcer perforation of the clinical data retrospectively were analyzed. Results： 15 cases of non-surgical treatment, the total cure rate was 66.7%. Carried out in 45 cases of surgical treatment, the total cure rate was 97.8%, of which 35 cases of suture repair for perforated, 9 subtotal gastrectomy routine gastrojejunostomy before colon surgery, 1 of gastric cancer patients with radical mastectomy. Conclusion： The choice for the treatment of non-relatively safe, especially for the vital organs of the elderly and the risk of surgical complications, such as the greater is particularly suitable. Application, if necessary, it is a very effective method for gastroduodenal ulcer perforation. It is the key to early diagnosis and timely surgical treatment of the disease. Simple perforation repair which is a definite effect, and ensure the quality of life in patients with effective treatment.