Lupal'tsov V I
Klin Khir. 2002 Oct(10):5-7.
Social and medical aspects of unsatisfactory results of treatment of patients with perforative gastroduodenal ulcer (GDU) were analyzed. There was shown, that social reasons cause not only untimely diagnosis of this severe complication, but they are also slowing down the elaboration and improvement of pathogenetically substantiated methods of operative intervention. While analyzing results of surgical treatment of 590 patients with perforative GDU, of whom in 53 truncal vagotomy was performed, in 241--selective vagotomy, in 296--selective proximal (SPV), there was established, that SPV under condition of serotonin adipinate application in early postoperative period, influencing the gut smooth muscles, constitutes most effective operative intervention.
对胃十二指肠溃疡（GDU）穿孔患者治疗效果不理想的社会和医学方面进行了分析。结果表明，社会原因不仅导致这种严重并发症的诊断不及时，而且还减缓了基于发病机制的手术干预方法的制定和改进。在分析590例GDU穿孔患者的手术治疗结果时，其中53例行迷走神经干切断术，241例行选择性迷走神经切断术，296例行选择性近端迷走神经切断术（SPV），结果发现，在术后早期应用己二酸血清素的情况下，SPV对肠道平滑肌有影响，是最有效的手术干预方式。
