论文部分内容阅读
近代有效的药物治疗已大大降低溃疡病择期性手术的应用,但复杂性溃疡病多数仍需手术治疗,其中不少问题尚待进一步探索和解决。一、顽固性溃疡所谓顽固性溃疡是指:(1)愈合缓慢的慢性溃疡,如十二指肠溃疡经三个月的甲腈咪胍治疗而仍不愈合;胃溃疡相对较大,愈合更慢,经四个月的 H_2受体拮抗剂治疗仍不愈合者属顽固性质。(2)尽管处于维持疗法,溃疡迅速复发。(3)病情加重,恶化期延长,缓解期缩短甚或消失。根据上述标准,Legerton、
Modern and effective drug treatment has greatly reduced the application of elective ulcer disease surgery, but the majority of complicated ulcer disease still need surgery, many of which remain to be further explored and resolved. First, intractable ulcers The so-called refractory ulcer refers to: (1) slow healing of chronic ulcers, such as duodenal ulcer after three months of treatment with cidamide and still not healing; gastric ulcer is relatively large, more healing Slow, after four months of H 2 receptor antagonist treatment is still non-healing are stubborn nature. (2) Ulcers recur rapidly despite maintenance therapy. (3) exacerbations, prolonged exacerbation, shorten or even disappear. According to the above criteria, Legerton,