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[胃体及胃功能部前壁浆肌层切开术联合迷走神经干后切断术及溃疡切除术治疗复杂性胃溃疡]

[Anterior seromyotomy of the body and the functional part of the stomach combined with posterior truncal vagotomy and ulcer excision in the surgical treatment of complicated stomach ulcer].

作者信息

Petrov V I, Sytnik A P, Gorbunov V N, KOrenev N N, Naumov B A, Gordeev S A

出版信息

Khirurgiia (Mosk). 1990 Jul(7):3-8.

PMID:2232580
Abstract

Anterior seromyotomy of the body and fundus of the stomach was combined with posterior truncal vagotomy and excision of the ulcer in 23 patients with gastric ulcer complicated by bleeding or perforation. Seventeen patients had chronic ulcers of the body of the stomach (type I), 3 patients had concurrent ulcers (type II), and 3 more patients had acute ulcers of the body of the stomach. Operation was undertaken for active bleeding from the ulcer in 20 patients and for perforating ulcer in 3 patients. One patient died. Mild disorders of evacuation of an aqueous barium sulfate suspension from the stomach were noted in 4 patients.

摘要

对23例胃溃疡合并出血或穿孔患者,行胃体和胃底前壁浆肌层切开术,同时行迷走神经干后切断术及溃疡切除术。17例为胃体部慢性溃疡(Ⅰ型),3例为复合性溃疡(Ⅱ型),另外3例为胃体部急性溃疡。20例因溃疡活动性出血接受手术,3例因溃疡穿孔接受手术。1例患者死亡。4例患者出现硫酸钡水剂自胃排空轻度障碍。

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