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[引流手术对迷走神经切断术后十二指肠溃疡患者胃液分泌的影响]

[Effect of a drainage operation on gastric secretion in patients with duodenal ulcer after vagotomy].

作者信息

Lebedev L V, Tarbaev S D, Kurygin A A, Rumiantsev V V

出版信息

Vestn Khir Im I I Grek. 1987 Nov;139(11):31-5.

PMID:3330345
Abstract

The work analyzes alterations of gastric secretion in 687 patients subjected to various kinds of vagotomy in combination with or without draining operations on the stomach for ulcer of the duodenum. Draining operations were established to decrease activity of gastric secretion. The Jaboulay gastroduodenal anastomosis proved to be less beneficial since 50% of the patients had the positive insulin test and ulcer recurred almost in 11% of the cases. Results were most favorable after vagotomy in combination with pyloroplasty after Finney and Heineke-Mikulicz. The disease recurred after these interventions in 7 and 8% correspondingly.

摘要

该研究分析了687例因十二指肠溃疡接受各种迷走神经切断术(联合或不联合胃引流手术)患者的胃液分泌变化。实施引流手术旨在降低胃液分泌活性。结果表明,贾布莱胃十二指肠吻合术效果欠佳,因为50%的患者胰岛素试验呈阳性,且近11%的病例溃疡复发。芬尼和海涅克 - 米库利茨迷走神经切断术联合幽门成形术后效果最佳,相应地,这些干预措施后疾病复发率分别为7%和8%。

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