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Mini-invasive endosurgical methods of treatment of the perforative ulcer of duodenum.

机译:十二指肠穿孔溃疡的迷你侵袭性内关方法。

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Relevance: Perforation - the life-threatening complication which is observing on the average at 5% of patients with stomach ulcer [9, 12]. However, if patients are exposed to excessive influence of adverse factors and don't receive adequate conservative treatment, the risk of perforation can significantly increase [7, 11]. The vast majority of perforations (75-85%) is the share now of duodenal localization of an ulcer [6, 12]. The main part of patients - the person of able-bodied age, is noted considerable, on the average 10-fold, prevalence of men [1, 5]. In economically developed countries perforative ulcers meet at 7-10 supervision on 100 000 population a year [9, 13]. According to international the cohort researches, a lethality for the last 30 years doesn't tend to decrease and at perforation of a duodenal ulcer makes 5-13%, gastric - by 2-3 times it is above [10, 11]. Routine operation in the majority of clinics is ushivany ulcers. Results of this not radical operation leave much to be desired. Within the first year recurrence of an ulcer is noted at 50-70% of patients, by 10 years because of development of a stenosis, repeated perforation, massive bleeding or a combination of complications 60% of patients and more than [2, 8] are exposed to repeated operations.
机译:相关性:穿孔 - 危及危及生命的并发症,胃溃疡患者的5%的平均值观察[9,12]。但是,如果患者暴露于不良因素的过度影响并且不接受足够的保守治疗,则穿孔的风险可以显着增加[7,11]。绝大多数穿孔(75-85%)是现在十二指肠定位的钙[6,12]的份额。患者的主要部分 - 能够身份的年龄的人,相当明显,平均10倍,男性患病率[1,5]。在经济发达的国家,穿孔溃疡在每年10 000人口的7-10人监督下举行会议[9,13]。根据国际队列研究,过去30岁的致死性并不倾向于减少,在十二指肠溃疡的穿孔下,胃部溃疡,胃 - 高于[10,11]。大多数诊所的常规操作是Ushivany溃疡。结果不是自由基操作留下了很多待期望。在溃疡的第一年复发后,患者的50-70%,由于发展狭窄,重复穿孔,肿大或并发症组合的患者的50岁以上,患者的组合,而且超过[2,8]暴露于重复的操作。

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