Ovchinnikov V A, Men'kov A V
Khirurgiia (Mosk). 2000(11):15-8.
The analysis of immediate and long-term results of surgical treatment in 98 patients with peptic ulcer of operated stomach is presented. The choice of surgical method was determined by the disease cause. Reconstructive stomach resection by Bilrot-II in Roux modification was operation of choice in peptic ulcer with non-hormonal factors of ulcerogenesis. When hormonal cause of ulcerogenesis was suspected, even in unknown origin of hypergastrinemia, the extirpation of gastric stump is indicated. Trunkal vagotomy can be performed as an additional surgical method only. Favorable surgical outcomes were seen in 90 (91.8%) patients. Long-term results from 2 to 15 years were studied in 74 (82.2%) patients. They were recognized as good in 48 (53.3%) patients, as satisfactory--in 12 (13.3%). The recurrence of the disease was seen in 4 (4.4%) patients. 10 patients died due to causes not associated with stomach diseases.
本文介绍了98例接受胃手术治疗的消化性溃疡患者的近期和远期手术结果分析。手术方法的选择取决于病因。对于由非激素性溃疡发病因素引起的消化性溃疡，采用Roux改良的毕Ⅱ式重建胃切除术是首选术式。当怀疑溃疡发病的激素性病因时，即使高胃泌素血症的病因不明，也建议切除胃残端。迷走神经干切断术只能作为一种辅助手术方法。90例（91.8%）患者手术效果良好。对74例（82.2%）患者进行了2至15年的远期随访。其中48例（53.3%）患者效果良好，12例（13.3%）患者效果满意。4例（4.4%）患者疾病复发。10例患者因与胃部疾病无关的原因死亡。
