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[毕罗一世和毕罗二世胃切除术的结果]

[Results of Billroth I and Billroth II stomach resection].

作者信息

Petrat H, Schröder H, Jacob M, Petrat G

机构信息

Klinik für Chirurgic, Friedrich-Schiller-Universität Jena.

出版信息

Zentralbl Chir. 1991;116(6):369-73.

PMID:1858448
Abstract

Between 1966 and 1986, Billroth I and Billroth II resections for gastroduodenal ulcers were performed at the Department of Surgery, Friedrich Schiller University, Jena. Early postoperative complications after Billroth II (14.6%) were somewhat rarer than after Billroth I (19.4%), however, bore a greater risk. With a permanent cure accounting for 85%, the comparison of both procedures reveals no significant differences in the late results. In gastric ulcer, Billroth's first method should be given preference because it can be carried out more rapidly in technical respect and takes digestive physiology into account.

摘要

1966年至1986年间,耶拿弗里德里希·席勒大学外科系对胃十二指肠溃疡患者实施了毕罗Ⅰ式和毕罗Ⅱ式切除术。毕罗Ⅱ式术后早期并发症发生率(14.6%)略低于毕罗Ⅰ式(19.4%),但风险更高。两种手术的永久治愈率均为85%,晚期疗效对比无显著差异。对于胃溃疡,应优先选择毕罗第一种术式,因为该术式在技术操作上更为快捷,且考虑到了消化生理学因素。

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