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[管状胃切除术联合选择性迷走神经切断术治疗消化性溃疡]

[Tubular gastrectomy with selective vagotomy in the treatment of peptic ulcer].

作者信息

Vasilenko L I, Papazov F K

出版信息

Khirurgiia (Mosk). 1991 Mar(3):48-52.

PMID:1861386
Abstract

The authors generalize the material on the surgical treatment of 151 patients who were operated on for complicated gastroduodenal ulcers by means of an improved method of tubular resection of the stomach with selective vagotomy, subtotal excision of the lesser curvature, and the formation of a ++post-colonic rectangular gastroenteroanastomosis on a short loop with oblique division of the jejunum. The late-term results were studied in follow-up periods of up to 4 years in 110 patients (72.8%) and appraised according to Visik's scale. The results were excellent in 78 (70.9%), good in 25 (22.7%), satisfactory in 6 (5.5%) patients, and poor (recurrence of the disease) in one (0.94) patient.

摘要

作者总结了151例因复杂性胃十二指肠溃疡接受手术治疗患者的资料,手术采用改良的胃管状切除方法,包括选择性迷走神经切断术、小弯侧次全切除术,并在短袢上形成结肠后矩形胃肠吻合术,空肠斜行切断。对110例患者(72.8%)进行了长达4年的随访,研究其远期结果,并根据维西克量表进行评估。结果显示,78例(70.9%)患者效果极佳,25例(22.7%)患者效果良好,6例(5.5%)患者效果满意,1例(0.94%)患者效果差(疾病复发)。

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