胃潰瘍の治癒判定―X線の経過観察による再発の立場から

X-rays: Their Interpretation Concerning the Healing of Gastric Ulcer: based on the disease course and with particular reference to recidivation

要旨　健康人中から発見された胃潰瘍689例のうち5年以上観察を行った321例の胃潰瘍の自然史から次のような結果を得た．（1）再発の立場からみれば，X線の瘢痕像の所見から完全治癒という判定はできない．（2）瘢痕像の所見のはっきりしているものほど再発の可能性は強い．（3）痕跡を残さず治癒したものの再発は少ない．（4）内科的に治療し，長期間経過を観察した結果，再発の頻度が少ないものほど，また瘢痕状態の長く続いているものほど完全治癒の可能性が強い．

　689 gastric ulcers were detected in otherwise seemingly healthy people, 321 showed the natural progression of gastric ulcers and were successfully monitored over a period of five or more years.

　The following conclusions have been reached: 　(1) So long as the probability of gastric ulcer recidivation remains, a complete diagnosis cannot be established based on the varied aspects of x-ray scarring.

　(2) Probability of recidivation is much greater in cases where scarring aspects could be characterized by specific findings, i.e. convergency of folds, disordered areae gastricae.

　(3) Accordingly, probability of recidivation is much smaller where no trace of scarring is evident.

　(4) Resulting from the long period of gastric ulcers, treated by drugs, it has been concluded that the longer the period of scarring, and the less the frequency of recidivation, the greater the chance of complete healing.