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十年间收治胃十二指肠溃疡2003例,包括胃溃疡642例,十二指肠溃疡1361例.其中780例有出血,417例并穿孔,380例有幽门梗阻,426树无并发症.手术治疗1356例,非手术治疗647例.死亡17例。本组资料提示:现代溃疡发病机制概念及新药物疗法已要求对长期内科治疗无效这一溃疡病的相对手术指征、溃疡穿孔修补术后需再手术的概念进行重新评价。胃大部切除时对伴胆囊结石、胆囊炎者同时行胆囊切除并不显著增加手术并发症。
Ten years admitted to the treatment of gastroduodenal ulcer 2003 cases, including 642 cases of gastric ulcer, 1361 cases of duodenal ulcer. Of these, 780 had hemorrhage, 417 had perforation, 380 had pyloric obstruction, and 426 had no complications. 1356 cases of surgical treatment, 647 cases of non-surgical treatment. 17 died. This group of data tips: The concept of modern ulcer pathogenesis and new drug therapy has required long-term medical treatment ineffective ulcer disease relative surgical indications, the concept of reoperation after ulcer repair should be re-evaluated. Gastrectomy with gallstones, cholecystitis concurrent cholecystectomy did not significantly increase the surgical complications.