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[迷走神经切断术在十二指肠溃疡外科治疗中的应用]

[Vagotomy in surgical treatment of duodenal ulcer].

作者信息

Nuritdinov A T, Mekhmanov A M, Kasymov A L

出版信息

Khirurgiia (Mosk). 2002(2):18-20.

Abstract

Results of organo-saving operations in 807 patients (72% men, 28% women) with duodenal ulcers were analyzed. Bilateral truncal vagotomy (with pyloro-, duodenoplasty, gastroenterostomy, gastroduodenostomy, economical stomach resection) were performed in 27.1% patients, selective--in 1.4%, selective proximal--in 65.5%, anterior selective and posterior truncal vagotomy--in 6.0%. Lethality was 1.6%, long-term results were excellent and good in 75.6% cases. Satisfactory results were seen in 8.6% patients, bad results--in 15.8%.

摘要

分析了807例十二指肠溃疡患者(男性占72%,女性占28%)的保器官手术结果。27.1%的患者接受了双侧迷走神经干切断术(联合幽门成形术、十二指肠成形术、胃肠吻合术、胃十二指肠吻合术、经济性胃切除术),1.4%的患者接受了选择性迷走神经切断术,65.5%的患者接受了选择性近端迷走神经切断术,6.0%的患者接受了前侧选择性和后侧迷走神经干切断术。死亡率为1.6%,75.6%的病例长期效果为优和良。8.6%的患者效果满意,15.8%的患者效果差。

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