| 十二指肠溃疡急性穿孔不同手术方式疗效的比较研究 |
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| 引用本文： | 江庆斌,蔡旌槐,陈健松,苏树炎.十二指肠溃疡急性穿孔不同手术方式疗效的比较研究[J].岭南现代临床外科,2009,9(1):27-29. |
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| 作者姓名： | 江庆斌 蔡旌槐 陈健松 苏树炎 |
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| 作者单位： | 广东省潮州市潮州医院普外科,潮州,521000 |
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| 摘 要： | 目的探讨十二指肠溃疡急性穿孔的不同外科手术方式的疗效。方法对120例十二指肠溃疡急性穿孔病人分别行开腹单纯穿孔修补术加用高选择性迷走神经切断术（Parietal Cell Vagotomy，以下简称PCV）、腹腔镜下穿孔修补加用PCV、开腹胃大部切除术。对其手术时间、住院时间、术后并发症、溃疡复发率进行比较观察。结果腹腔镜下十二指肠溃疡急性穿孔修补术＋PCV明显节省了手术时间、住院时间和减少了手术并发症，但与开腹胃大部切除术相比，溃疡复发率较高。结论腹腔镜下十二指肠溃疡急性穿孔修补加用PCV是较合理的选择，术后辅以制酸及抗Helicobacter pylori感染药物是必要的。开腹胃大部切除术已不再是治疗十二指肠溃疡急性穿孔的合理选择。
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| 关 键 词： | 十二指肠溃疡穿孔 外科治疗 |
Comparative study on effects of different surgical methods for acute perforated duodenal ulcer |
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| Jiang Qing-bin,Cai Sheng-huai,Chen Jiang-song,Su Shu-yan.Comparative study on effects of different surgical methods for acute perforated duodenal ulcer[J].Lingnan Modern Clinics in Surgery,2009,9(1):27-29. |
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| Authors: | Jiang Qing-bin Cai Sheng-huai Chen Jiang-song Su Shu-yan |
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| Institution: | Jiang Qingbin,Cai Shenghuai,Chen Jiangsong,Su Shuyan. Department of Genernal Surgery,Chaozhou Hospital,Chaozhou,Guangdong 521000 |
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| Abstract: | Objective To study the curative effects on different surgical method for acute perforated duodenal ulcer. Methods From May 2003 to May 2008, 120 cases with acute perforated duodenal ulcer underwent simple repair of perforation plus high selective vagotomy ,laparoscopic repair of perforation plus PCV and subtotal gastrectomy respectively. The operative time ,hospitalization time, postoperative complications and rcurrence rate of ulcer were observed comparatively. Results Laparoscopic repair of acute perforat... |
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| Keywords: | Perforated duodenal ulcer Surgical treatment |
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