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| 題 名 | Surgical Treatment of Benign High Gastric Ulcer=良性高位胃潰瘍之手術治療 |
|---|---|
| 作 者 | 馬旭; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 21:2 1988.03[民77.03] |
| 頁 次 | 頁198-203 |
| 分類號 | 416.2421 |
| 關鍵詞 | 良性高位胃潰瘍; 手術治療; |
| 語 文 | 英文(English) |
| 中文摘要 | 慢性良性胃潰瘍的手術治療,係將潰瘍及胃的遠端行部份切除,以獲得良好的療效。但是對於賁門下方附近的胃潰瘍,欲行切除手術就比較困難,危險性也較高。因此有許多種不同的手術發展出來,想要克服這個問題,榮民總醫院胸腔外科在過去十年內,有五十三位病人發現有高位胃潰瘍(距賁門五公分以內)。其中有二十八例接受手術治療;平均追踪時間為十點二個月。茲說此接受手術的患者,依其不同的手術分組,作一回溯性的分析,並對高位胃潰瘍的治療方式及預後作一詳盡的討論。結果發現,在接受楔形切除或遠端次全胃切除的良性高位性胃潰瘍患者,預後及生活品質,要比接受全胃切除或近端次全胃切除的患者為佳。 |
| 英文摘要 | The definite surgical treatment for patient with benign chronic gastric ulcer is a partial distal gastrectomy including resection of the ulcer. However, for an ulcer located in the subcardial region, surgical resection can be difficult and hazardous. Ulcer removal can involve a difficult dissection with high mortality and morbidity. Therefore, several techniques have been proposed for treatment of these high gastric ulcers. During a 10 year period, 53 cases were found to have ulcers located within 5 centimeters of the esophagogastric junction in Veterans General Hospital. However, oniy 28 patients received surgical treatment. Several surgical procedures were performed and their results including blood loss, blood transfusion, size & location of ulcer, complication, mortality and Visick's grading were analyzed. The mean duration of follow-up was 10.2 months. According to the statistical analysis, distal subtotal gastrectomy or wedge resection appears preferable to total gastrectomy or proximal subtotal gastrectomy as a means of treatment for high gastric ulcer. |
本系統中英文摘要資訊取自各篇刊載內容。