胃潰瘍の治療に関する研究

前編 胃潰瘍の治療の実態と治療方針の判定所見の検討について

抄録

Incomplete treatment of gastric ulcer or the state being accustomed to such treatment are probably the responsibility of both the side of conducting treatment and the side of patient. The actual state of autopsied and clinical cases as well as clinical findings to be used as the reference of therapeutic program were analyzed.
1. From the autopsy records of Tokyo Medical Examiner's Office, the death rate due to gastric ulcer was found to be decreased but the gastric ulcer as a side change was not decreased. The rate in gastric ulcer was decreased in recent years.
2. In clinical cases, the patients start to fall out from the stage of diagnosis. Only 30% of patients who were treated were confirmed as being healed after 1 year.
3. Upon studying the course of ulcer in hospitalized and out-patients separately, ulcers in hospitalized patients are large and appear to resist treatment while ulcers in out-patients are small and appear to be cured readily. However, the tendency to healing was less in outpatients.
4. Depend on the depth of the ulcer influences the responsiveness to treatment, attempts to predict the depth of the ulcer were made. The rate of correct prediction in the prediction of UL IV was as high as 85%, while the corresponding value in UL III was only 25%. Most of the ulcers predicted as UL III were actually deeper.