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[溃疡手术后的复发:侵袭性溃疡病还是治疗不充分?]

[Recurrence following ulcer operation: aggressive ulcer disease or inadequate therapy?].

作者信息

Beger H G, Roscher R

出版信息

Langenbecks Arch Chir. 1985;366:121-6. doi: 10.1007/BF01836614.

Abstract

Re-ulceration after surgery occurs in 2.2% following resecting procedures, in 12% following vagotomy. 10 to 30% of the re-ulcerations are unresponsive to H2-blocking agents. 70% of all patients develop re-ulceration as medical prophylaxis after re-ulceration is discontinued. The most common reasons for re-ulceration after surgery are incomplete vagotomy after inadequate organ preserving operations and too great remnant after resecting techniques.

摘要

手术切除术后再溃疡发生率为2.2%,迷走神经切断术后为12%。10%至30%的再溃疡对H2阻滞剂无反应。所有患者中有70%在停用抗再溃疡药物预防后发生再溃疡。手术后再溃疡最常见的原因是器官保留手术不充分导致迷走神经切断不完全以及切除术后残余过多。

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