Qureshi H, Maher M, Ahmed W, Zuberi S J
PMRC Research Centre, Karachi.
J Pak Med Assoc. 1991 Nov;41(11):279-80.
Incomplete vagotomy is the single most common cause of ulcer recurrence. Completeness of vagotomy was assessed postoperatively in 17 patients using the congo red test. Various types of vagotomies included truncal vagotomy and gastrojejenostomy in 6, highly selective vagotomy in 5, truncal vagotomy and pyloroplasty in 3 and selective vagotomy with gastrojejenostomy in 3 cases. Congo red test was positive in 13 cases, with 9 of these showing evidence of incomplete vagotomy manifesting as erosions, duodenitis, stomal ulceration or ulcer recurrence.
不完全迷走神经切断术是溃疡复发最常见的单一原因。术后使用刚果红试验对17例患者的迷走神经切断术完整性进行了评估。迷走神经切断术的各种类型包括6例迷走神经干切断术和胃空肠吻合术、5例高选择性迷走神经切断术、3例迷走神经干切断术和幽门成形术以及3例选择性迷走神经切断术和胃空肠吻合术。刚果红试验在13例中呈阳性，其中9例显示不完全迷走神经切断的证据，表现为糜烂、十二指肠炎、吻合口溃疡或溃疡复发。
