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來源資料
頁籤選單縮合
題 名 | Management Strategies of Marginal Ulcers=邊緣性潰瘍的處置 |
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作 者 | 鍾鴻春; 羅世薰; 吳秋文; 謝茂志; 雷永耀; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 31:2 民87.03-04 |
頁 次 | 頁103-108 |
分類號 | 415.526 |
關鍵詞 | 邊緣性潰瘍; Marginal ulcer; |
語 文 | 英文(English) |
中文摘要 | 邊緣性潰瘍主要是因為早先消化性潰瘍手術不當而造成。由於H2接受體拮抗劑在 近二十年來已非常普遍,也成為治療消化性潰瘍的標準方法,因此吾等以回顧性的分析來評 估是否H2接受體拮抗劑亦可以用來治療邊緣性潰瘍。收集本院在過去十年中45位經病理 證實為邊緣性潰瘍且接受H2接受體拮抗劑治療的病例來加以分析,其中只有7例治療後潰 瘍癒合沒有再復發,有25例治療後潰瘍癒合,但屢次復發;有10例潰瘍可癒合,但屢次復 發併嚴重併發症,有3例治療無效潰瘍持續存在13位病例皆曾建議外科治療。結果3例持 續性接受常規手術治療,效果良好。另10例出血潰瘍6例接受緊急手術,效果不良。以H2 接受體拮治療邊緣性潰瘍可以得到很好之癒合率,但也高之復發率,對於這類反復復發且合 併有出血者,應建議及早接受外科手術。 |
英文摘要 | Marginal ulcer is caused by inadequate initial peptic ulcer surgical procedure. Since H2 receptor antagonists have become popular as a standard treatment for peptic ulcer in the past two decades, a retrospective analysis was done to evaluate whether the H2 receptor antagonists can also be used to treat marginal ulcer. Forty-five patients with pathologically proved marginal ulcer were collected from our hospital in records over the past 10 years. Medical treatment with H2 receptor antagonists was the primary treatment for those 45 patients. Only 7 marginal ulcers healed and without recurrence. Twenty-five ulcers healed but with repeated recurrence. Surgery was suggested to another ten repeated complicated recurrent ulcers and three persistent marginal ulceration. Three patients with persistent marginal ulcer underwent eletive surgery and all of these recovered without recurrence. Six patients with recurrent bleeding ulcer underwent emergency operation, and all of them were died of surgical complications, except one patient who recovered without recurrence. Although H2 receptor antagonists have a high success rate to heal marginal ulcers, however, they also have a high recurrence rate. Surgical treatment should be strongly suggested for patients with repeated recurrent bleeding ulcer. |
本系統中英文摘要資訊取自各篇刊載內容。