การผ่าตัดรักษาแผลเป็บติคทะลุในโรงพยาบาลสมุทรสงคราม

บทคัดย่อ

          This study assesed the result of surgical treatment of peptic ulcer with perforation in Samuthsongkram Hospital. From 1986-1987, 32 patients had been treated by simple closure with omental patch, the recurrent rate about 60 %. During 1988-1990, 48 patients with perforated peptic ulcer had been treated surgically in Samuthsongkram Hospital. The thirty five patients had been treated by simple closure with omental patch, and follow with ulcerogenic medication. The remainder had been treated by definitive surgery, including vagotomy with drainage, vagotomy with antrectomy. two to four years follow up, the first group had a low recurrent rate (about 10%), and the second group had a better scores.