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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。

相似文献

1
[Ulcer recurrence after vagotomy].[迷走神经切断术后溃疡复发]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 May-Jun;25(3):189-92.
2
[Recurrent postoperative ulcer].[复发性术后溃疡]
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1981 Sep-Oct;30(5):351-64.
3
[Surgical reoperation after vagotomy].[迷走神经切断术后的外科再次手术]
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[Distal gastrectomy with Y gastroenteroanastomosis not associated with vagotomy in elective surgical treatment of gastroduodenal ulcer. Clinical and functional long-term results].[远端胃切除术加Y型胃肠吻合术,不伴迷走神经切断术,用于胃十二指肠溃疡的择期手术治疗。临床及功能长期结果]
Minerva Chir. 1990 Mar 15;45(5):257-70.
5
Retrospective study of operations for peptic ulcer.消化性溃疡手术的回顾性研究。
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6
[Hyperselective vagotomy (author's transl)].
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7
Recurrence of peptic ulcer after selective proximal vagotomy and pyloroplasty in relation to changes in clinical signs and symptoms between 1969 and 1983.1969年至1983年间,选择性近端迷走神经切断术和幽门成形术后消化性溃疡的复发与临床体征和症状变化的关系
Surg Gynecol Obstet. 1988 Oct;167(4):271-81.
8
Ulcer recurrence after gastric surgery: is Helicobacter pylori the culprit?胃手术后溃疡复发:幽门螺杆菌是罪魁祸首吗?
Am J Gastroenterol. 1998 Jun;93(6):928-31. doi: 10.1111/j.1572-0241.1998.00279.x.
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J Physiol Pharmacol. 1996 Mar;47(1):229-37.