Schröder H, Presselt N, Klauke A S, Klauke M
Zentralbl Chir. 1987;112(5):285-93.
Reported in this paper are postoperative results recorded from 120 patients, 3 years after selective proximal vagotomy for uncomplicated duodenal ulcer. There was no intraoperative lethality and no recurrence in 96.7 per cent of all cases, while Visick grades I on II were recorded from 98.2 per cent. Radiologically and gastroscopically detected pathological processes receded soon. Average postoperative reduction in acid secretion was 66.2 per cent in BAO and 46.8 per cent in MAO. Acid values re-increased thereafter, and three years later reduction rates still amounted to 43.7 per cent in BAO and 28.6 per cent in MAO. Indications for proximal gastric vagotomy are discussed in some detail.
本文报道了120例因单纯性十二指肠溃疡接受选择性近端迷走神经切断术3年后的术后结果。术中无死亡病例,所有病例中96.7%无复发,98.2%的病例Visick分级为I级或II级。放射学和胃镜检查发现的病理过程很快消退。术后基础胃酸分泌量(BAO)平均降低66.2%,最大胃酸分泌量(MAO)平均降低46.8%。此后胃酸值再次升高,3年后BAO降低率仍为43.7%,MAO降低率仍为28.6%。文中还详细讨论了近端胃迷走神经切断术的适应证。