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[选择性近端迷走神经切断术治疗十二指肠溃疡。术后10年临床结果分析]

[Selective proximal vagotomy in the treatment of duodenal ulcer. Analysis of clinical results up to the 10th postoperative year].

作者信息

Raab M, Stützer H

出版信息

Langenbecks Arch Chir. 1986;368(1):41-55. doi: 10.1007/BF01261300.

Abstract

807 patients with a duodenal ulcer were treated by a selective proximal vagotomy. Low inter- and postoperative complication rates led to a total mortality of 0.2%. Due to the maximum postoperative control the probability of suffering from a recurrent ulcer is 22.7%. Postoperative functional complaints appeared in 8-19% without the necessity of invasive treatment. A satisfactory result of the therapy was achieved in 73%. The clinical relevance of the analysis of gastric juice has to be discussed. A special emphasis was put on the description of frequency of follow-up examinations, the key of each clinical study.

摘要

807例十二指肠溃疡患者接受了选择性近端迷走神经切断术治疗。术中及术后并发症发生率较低,总死亡率为0.2%。由于术后能实现最大程度的控制,复发性溃疡的发生率为22.7%。术后功能障碍发生率为8% - 19%,无需进行侵入性治疗。73%的患者治疗效果满意。必须讨论胃液分析的临床相关性。特别强调了随访检查频率的描述,这是每项临床研究的关键。

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