切除胃からみた胃潰瘍の手術適応に関する研究 統計的観察ならびに判別関数をもちいた修復度の判定
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概要
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The problem how to decide the adaptability of surgical treatment for gastric ulcer has been discussed.<BR>On this problem, the statistical analysis and the computer analysis with discriminant function was performed from the standpoint of histopathological findings about 284 cases of gastric ulcer which were resected in our department during past 11 years from 1956 to 1966.<BR>Out of total 347 cases of gastric ulcer, 63 cases were excluded as they were linear gastric ulcer.<BR>The following results were obtained :<BR>1. Ulcers of ul IV degree were extremely difficult to heal.<BR>2. Regarding the distribution of ulcers by the difference of their shapes, especially in ulcers of ul IV degree, round, lanky and kissing ulcers were extremely difficult to heal. But multiple ulcers were showed to be relatively easy to heal.<BR>3. As for the difference in the repair depending on the locality of ulcer formations, ulcers formed on the lesser curvature were mostly difficult to heal.<BR>4. When viewed from the standpoint of altitude (distance from the pyloric ring), ulcers on 6.1-8.0 cm. from the pyloric ring were extremely difficult to heal. Namely, ulcers on the upper part of stomach angle and lesser curvature were extremely difficult to heal.<BR>5. Regarding the distribution of ulcers by the difference of their diameter, the longer in diameter ulcers were, the treatment was so much difficult, and, especially, ulcers of 1.1 cm. or more in their diameters would lose their healing tendencies.<BR>6. When viewed from the standpoint of patient's age, the older the patient was, the treatment was so much difficult, and in the cases suffered from gastric ulcer for 11 years or more, ulcers in the cicatrizing stage were not found.
- 学校法人 昭和大学・昭和医学会の論文