Bailey RW
Greater Baltimore Medical Center, Baltimore, MD, USA
Semin Laparosc Surg. 1994 Sep;1(3):161-170. doi: 10.1053/SLAS00100161.
Peptic ulcer disease continues to be a major health care problem in the United States. Fortunately, the overall majority of patients can be expected to heal their ulcers with aggressive medical treatment. Nonetheless, a small but discrete group of patients will require surgical treatment for their disease. A minimally invasive approach to the treatment of peptic disease offers numerous advantages to patients including, early discharge from the hospital, early return to normal activity, and minimal postoperative discomfort. Numerous options are available to the surgeon for the treatment of patients presenting with peptic ulcer disease. One of these, posterior truncal vagotomy combined with anterior highly selective vagotomy, seems to provide definitive treatment of chronic duodenal ulcer disease.
消化性溃疡疾病在美国仍然是一个主要的医疗保健问题。幸运的是，总体而言，大多数患者有望通过积极的药物治疗治愈溃疡。尽管如此，仍有一小部分特定患者需要接受手术治疗。消化性疾病的微创治疗方法为患者带来了诸多益处，包括早期出院、早日恢复正常活动以及术后不适最小化。对于患有消化性溃疡疾病的患者，外科医生有多种治疗选择。其中之一，即后干迷走神经切断术联合前高选择性迷走神经切断术，似乎能为慢性十二指肠溃疡疾病提供确切的治疗。
