Li S Y
Beijing Army General Hospital.
Zhonghua Wai Ke Za Zhi. 1991 May;29(5):321-3, 335.
Ninety-five patients with perforation, haemorrhage, and stenosis due to duodenal ulcer were treated by extended parietal cell vagotomy (EP-CV). Eighty-eight (92%) (acute perforation 60 patients, haemorrhage 8 and stenosis 20) of them were followed up for 3.5 to 10 years (average 6 years). There was no operative death except for 2 documented recurrent ulcers (2.3%) and 1 recurrent stenosis. Of the 88 patients, 67 (76.3%) belonged to class I, 13 (14.7%) class II, 4 (4.5%) class III, and 4 (4.5%) class IV according to visick system. We believe that EPCV is effective in the treatment of perforation, haemorrhage, and stenosis of duodenal ulcer.
95例因十二指肠溃疡导致穿孔、出血和狭窄的患者接受了扩大壁细胞迷走神经切断术(EP-CV)治疗。其中88例(92%)(急性穿孔60例、出血8例、狭窄20例)接受了3.5至10年(平均6年)的随访。除2例有记录的复发性溃疡(2.3%)和1例复发性狭窄外,无手术死亡病例。根据维西克系统,88例患者中,67例(76.3%)属于I级,13例(14.7%)属于II级,4例(4.5%)属于III级,4例(4.5%)属于IV级。我们认为扩大壁细胞迷走神经切断术在治疗十二指肠溃疡穿孔、出血和狭窄方面是有效的。