Nechaĭ A I, Zuev V K, Volkov V G
Khirurgiia (Mosk). 1989 Oct(10):10-4.
The work is based on the results of analysis of clinical material concerning patients who were treated by operation for duodenal ulcer 3-5 years earlier. Truncal vagotomy and pyloroplasty (TV + P) was performed in 166 and selective proximal vagotomy with pyloroplasty (SPV + P) in 195 patients. The authors found the long-term results to be similar in both groups and did not reveal any advantages of SPV + P over TV + P, in view of which they do not find it necessary in principle to decline from conducting TV + P at the present time.
这项工作基于对3至5年前接受十二指肠溃疡手术治疗患者的临床资料分析结果。166例患者接受了迷走神经干切断术和幽门成形术(TV + P),195例患者接受了选择性近端迷走神经切断术加幽门成形术(SPV + P)。作者发现两组的长期结果相似,未发现SPV + P比TV + P有任何优势,鉴于此,他们认为目前原则上没有必要拒绝进行TV + P。