Elhadad A, Debesse B, Nguyen H N, Thomeret G
Sem Hop. 1978;54(21-24):722-32.
The authors review 216 gastrectomies of Péan type for gastric or duodenal ulcer with a follow up of between one and 12 years. In 91 patients, the follow up was more than five years. Six criteria were adopted for the essessment of the functional results: increase in body weight which may be of several types, the diet, post-prandial symptoms, return to work, asthenia recurrent ulcer. Each of these criteria were studied separately in all operated patients and analysed in relation to the follow up period. Except for recurrent ulcer, with occurred in 2% of cases, the results obtained improved with time. A routine study such as Visick's method completes this presentation. The good and very good results were 81% at 5 years, average results were 16% and poor results 3%. The differences between gastric and duodenal ulcer were negligeable. After comparison with the data in the literature, this level study seemed more interesting than a statistical study.
作者回顾了216例因胃或十二指肠溃疡而施行的佩安氏胃切除术,随访时间为1至12年。其中91例患者的随访时间超过5年。采用了六项标准来评估功能结果:体重增加(可能有几种类型)、饮食、餐后症状、恢复工作情况、虚弱状态以及复发性溃疡。在所有接受手术的患者中分别研究了这些标准中的每一项,并根据随访时间进行了分析。除了2%的病例出现复发性溃疡外,随着时间推移所获得的结果有所改善。像维西克方法这样的常规研究完善了这一表述。5年时,良好和非常好的结果为81%,中等结果为16%,差的结果为3%。胃溃疡和十二指肠溃疡之间的差异可忽略不计。与文献中的数据进行比较后,这种水平的研究似乎比统计研究更有意义。