Amdrup E
Schweiz Med Wochenschr. 1979 Apr 21;109(16):583-5.
Based on experience of a pilot series of 100 patients treated by parietal cell vagotomy (PCV) and a prospective clinical comparison between PCV (in some cases with drainage added) and selective gastric vagotomy (SGV) with drainage (D) or antrectomy (A) in some 900 patients, the following conclusions can be drawn: PCV is followed by virtually no sequelae. When drainage is added this is no longer the case and the results are the same as those following SGV + D. PCV and SGV + D show the same recurrence rate at 3 years (approx. 7%). Men do better than women after PCV but not after SGV + D. Preoperative gastric acid secretion had no predictive value in these studies. In non-obstructing duodenal ulcer the surgical choice appears to be between PCV (no sequelae) and SGV + A (no recurrence). The optimal operation for prepyloric ulcer cannot as yet be determined.
根据对100例接受壁细胞迷走神经切断术（PCV）治疗患者的试点系列经验，以及对约900例患者进行的PCV（某些情况下加做引流）与选择性胃迷走神经切断术（SGV）加引流（D）或胃窦切除术（A）的前瞻性临床比较，可得出以下结论：PCV术后几乎无后遗症。若加做引流则情况不同，其结果与SGV + D术后相同。PCV和SGV + D在3年时的复发率相同（约7%）。PCV术后男性效果优于女性，但SGV + D术后并非如此。在这些研究中，术前胃酸分泌无预测价值。对于非梗阻性十二指肠溃疡，手术选择似乎在PCV（无后遗症）和SGV + A（无复发）之间。目前尚无法确定幽门前溃疡的最佳手术方式。
