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[迷走神经切断术后溃疡复发]

[Ulcer recurrence after vagotomy].

作者信息

Alexiu O, Furtunescu B

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 May-Jun;25(3):189-92.

PMID:134403
Abstract

In the author's statistics concerning vagotomy with simple gastric draining, performed for gastric ulcers and duodenal ulcers (a number of 556 total abdominal vagotomies, 196 selective gastric vagotomies, 179 selective high vagotomies), ulcerous recidives occured 23 times (2,4%). The authors conclude on the following aspects: -- ulcerous recidives occur more frequently following classical, selective gastric vagotomy; -- the diagnosis of ulcerous recidive is difficult and it should be based on clinical and para-clinical explorations, as well as on "test-therapy"; -- the efficiency of iterative vagotomy raises the problem of the incomplete vagotomy in the etiology of the recidivating ulcers.

摘要

在作者关于胃溃疡和十二指肠溃疡行单纯胃引流迷走神经切断术的统计中(共556例全腹迷走神经切断术、196例选择性胃迷走神经切断术、179例选择性高位迷走神经切断术),溃疡复发23次(2.4%)。作者得出以下结论:——经典的选择性胃迷走神经切断术后溃疡复发更常见;——溃疡复发的诊断困难,应基于临床和辅助临床检查以及“试验性治疗”;——反复迷走神经切断术的有效性引发了复发性溃疡病因中迷走神经切断不完全的问题。

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