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[消化性溃疡胃根治术后慢性十二指肠梗阻的外科治疗]

[Surgical treatment of chronic duodenal obstruction after radical operations on the stomach in peptic ulcer].

作者信息

Repin V N, Dvorianskikh V N, Ovechkin A V, Repin M V

出版信息

Klin Khir (1962). 1989(8):30-2.

PMID:2811084
Abstract

The authors operated on 138 patients with impaired duodenal patency after gastric resection and selective proximal vagotomy. The most substantiated operation is the Roux-en-Y reconstruction. In possible elimination of mechanical obstacles and normal tonicity of the duodenum, the passage through it was restored by means of isoperistaltic jejunal segment. Good long-term results were noted in 83.2%, satisfactory--in 13.6%, bad (ulcer recurrence)--in 3.2% of the patients.

摘要

作者对138例胃切除术后十二指肠通畅性受损及选择性近端迷走神经切断术后的患者进行了手术。最有效的手术是Roux-en-Y重建术。在可能消除机械性梗阻并恢复十二指肠正常张力的情况下,通过等蠕动空肠段恢复了十二指肠的通道。83.2%的患者取得了良好的长期效果,13.6%的患者效果满意,3.2%的患者效果不佳(溃疡复发)。

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