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[迷走神经切断术在幽门十二指肠溃疡外科治疗中的应用]

[Vagotomy in the surgical treatment of pyloroduodenal ulcers].

作者信息

Batvinkov N I, Ioskevich N N, Mozheĭko M A, Kashirin Iu A

出版信息

Khirurgiia (Mosk). 1989 Oct(10):19-23.

PMID:2593565
Abstract

The results of organ-preserving operations in 243 patients with peptic ulcer of the pyloric part of the stomach and duodenum are analysed; 88% of patients were operated on in the occurrence of life-threatening complications of the disease. The main type of surgical operation was selective proximal vagotomy which was isolated only in 44 cases. The immediate and late sequela of the operations were evaluated by means of the aspiration-titration method of studying acid production, pH-metry, roentgenoscopy, electrogastrography, and esophagogastroscopy. The late results of the vagotomy were studied during prolonged continuous medical observation of the patients. A socioeconomic impact of SPV is shown. The results of organ-preserving operation were excellent in 84.4%, satisfactory in 10.5%, and poor in 5.1% of patients according to Visick's classification.

摘要

分析了243例胃幽门部和十二指肠消化性溃疡患者的器官保留手术结果;88%的患者在疾病出现危及生命的并发症时接受了手术。主要的手术类型是选择性近端迷走神经切断术,仅在44例中实施。通过研究胃酸分泌的抽吸滴定法、pH测量法、X线透视、胃电图和食管胃镜检查对手术的近期和远期后遗症进行评估。在对患者进行长期持续医学观察期间研究了迷走神经切断术的远期结果。显示了选择性近端迷走神经切断术的社会经济影响。根据维西克分类,器官保留手术结果在84.4%的患者中为优秀,10.5%为满意,5.1%为差。

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