انثقاب الحشى الأجوف القرحي
Abstract
- أجريت الدراسة على (64) مريضاً من المرضى المقبولين في قسم الجراحة في مشفى الأسد الجامعي بتشخيص انثقاب الحشى الأجوف القرحي والذين أجريت لهم الجراحة ما بين عامي (2001-2003). بلغ عدد الذكور (51) والإناث (13) مريضاً أي بنسبة (1:4).
- تراوحت أعمار المرضى بين (16-82) سنة بمتوسط عمر قدره (52.8) سنة وأكثر نسبة إصابة المرضى كانت في العقد الخامس من العمر بنسبة 39.07%
- بلغ عدد الحالات التي حدث فيها انثقاب قرحة عفجية (28) حالة أي بنسبة (43.75%) منهم (23) ذكراً أي بنسبة (35.94%) و(5) إناث بنسبة (7.81%).
- وبلغ عدد حالات انثقاب القرحة المعدية (35) حالة بنسبة (54.69%) منهم (27) ذكراً بنسبة (42.19%) و(8) إناث بنسبة (12.5%). وفي حالة واحدة كان هناك انثقاب قرحة هامشية بنسبة 1.56%.
- بلغت نسبة إيجابية الصورة الظليلة (90.48%), بينما الصورة البسيطة فإيجابيتها قبل نفخ الغاز (54.69%) فقط ووصلت إلى (75%) بعد نفخ الغاز، ولم يكن الإيكوغرافي موجهاً للتشخيص إلا بنسبة (78.57%) من الحالات .
- بلغت نسبة المضاعفات بعد الجراحة (10.93%) والوفيات (3.12 % ).
- Peptic ulcer penetration was performed to sixty four patients who were admitted in the surgical department of AL-ASSAD Hospital in Lattakia between (2001-2003). The number of men in this group was (51) and women (13) in percentage (1:4).
- The age of the patients ranged between (16-82) years with average age (52.80) the highest rate of in fection was in the fifth decade in percentage (39.07%).
- There were 28 case of duodenum ulcer penetration in percentage (43.75%) ,the number of women was(5) and men (23) in percentage 35.94, 7.81 .
- The percentage of gastric ulcer penetration was (54.69%), the number of women was (8) and men (27), and in one case was the ectopic ulcer in percentage 1.56%.
- The positive cases were (90.48%) while were (54.69%) in X-rays before injecting the gas and were (75%) in X-rays after injecting the gas and were (78.57%) with Echo .
- The percentage of complicated in pentreted ulcer was (10.93%) and percentage of death was (3.12 %) the percentageof complications the surgery was 10.93 and the death rate 3.12.
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