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我们的首批35名患者在壁细胞迷走神经切断术后五年接受了研究。

Our first 35 patients studied five years after parietal cell vagotomy.

作者信息

Jordan P H

出版信息

Arch Surg. 1979 Apr;114(4):528-35. doi: 10.1001/archsurg.1979.01370280182031.

DOI:10.1001/archsurg.1979.01370280182031
PMID:435069
Abstract

Parietal cell vagotomy without drainage (PCV) was performed on 35 patients. The patients were evaluated at regular intervals for 60 months. A recurrent ulcer developed in four patients. One patient was reoperated on, one patient refused an operation, and in two patients, the ulcers healed and remained healed for four years after withdrawal of ulcerogenic drugs. Another patient was reoperated on for pyloric obstruction. Diarrhea was reported by no more than one patient at any reporting period. The number of patients who reported dumping at the various time periods ranged from two to four. At the time of each patient's last interview, 33 were considered to have excellent or good results. PCV is a safe and effective operation for treatment of duodenal ulcer. Instructions in the technique are necessary to avoid errors that might unnecessarily occur and lead to poor results with first operations.

摘要

对35例患者实施了不伴引流的壁细胞迷走神经切断术(PCV)。对这些患者进行了为期60个月的定期评估。4例患者出现复发性溃疡。1例患者接受了再次手术,1例患者拒绝手术,2例患者的溃疡在停用致溃疡药物后愈合且持续愈合了四年。另1例患者因幽门梗阻接受了再次手术。在任何报告期,报告有腹泻的患者不超过1例。在不同时间段报告有倾倒综合征的患者人数为2至4例。在每位患者最后一次随访时,33例患者被认为结果优良。PCV是治疗十二指肠溃疡的一种安全有效的手术。掌握该技术的操作要点对于避免可能不必要出现的错误以及导致初次手术效果不佳是必要的。

相似文献

1
Our first 35 patients studied five years after parietal cell vagotomy.我们的首批35名患者在壁细胞迷走神经切断术后五年接受了研究。
Arch Surg. 1979 Apr;114(4):528-35. doi: 10.1001/archsurg.1979.01370280182031.
2
An interim report on parietal cell vagotomy versus selective vagotomy and antrectomy for treatment of duodenal ulcer.壁细胞迷走神经切断术与选择性迷走神经切断术加胃窦切除术治疗十二指肠溃疡的中期报告
Ann Surg. 1979 May;189(5):643-53. doi: 10.1097/00000658-197905000-00015.
3
A porspective study of parietal cell vagotomy and selective vagotomy-antrectomy for treatment of duodenal ulcer.一项关于壁细胞迷走神经切断术和选择性迷走神经切断术-胃窦切除术治疗十二指肠溃疡的前瞻性研究。
Ann Surg. 1976 Jun;183(6):619-28. doi: 10.1097/00000658-197606000-00002.
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Should it be parietal cell vagotomy or selective vagotomy-antrectomy for treatment of duodenal ulcer? A progress report.治疗十二指肠溃疡应采用壁细胞迷走神经切断术还是选择性迷走神经切断术-胃窦切除术?一份进展报告。
Ann Surg. 1987 May;205(5):572-90. doi: 10.1097/00000658-198705000-00017.
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Parietal cell vagotomy without drainage for treatment of duodenal ulcer. A two- to three-year follow-up report.
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Parietal cell vagotomy.
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Clinical results of parietal cell vagotomy (highly selective vagotomy) two to four years after operation.壁细胞迷走神经切断术(高选择性迷走神经切断术)术后两至四年的临床结果。
Ann Surg. 1974 Sep;180(3):279-84. doi: 10.1097/00000658-197409000-00004.
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Twenty years after parietal cell vagotomy or selective vagotomy antrectomy for treatment of duodenal ulcer. Final report.壁细胞迷走神经切断术或选择性迷走神经切断术加胃窦切除术治疗十二指肠溃疡20年后。最终报告。
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Vagotomy of the fundic gland area of the stomach without drainage. A definitive treatment for perforated duodenal ulcer.不做引流的胃底腺区迷走神经切断术。十二指肠溃疡穿孔的一种确定性治疗方法。
Am J Surg. 1976 May;131(5):523-6. doi: 10.1016/0002-9610(76)90002-7.
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Parietal cell (highly selective or proximal gastric) vagotomy for peptic ulcer disease.用于治疗消化性溃疡疾病的壁细胞(高度选择性或近端胃)迷走神经切断术。
World J Surg. 1977 Jan;1(1):19-25. doi: 10.1007/BF01654722.

引用本文的文献

1
Proximal gastric vagotomy after five years.五年后的近端胃迷走神经切断术。
Gut. 1981 Sep;22(9):702-4. doi: 10.1136/gut.22.9.702.
2
Current status of proximal gastric vagotomy.近端胃迷走神经切断术的现状
Ann Surg. 1989 Feb;209(2):131-48. doi: 10.1097/00000658-198902000-00001.
3
Complications associated with ulcer recurrence following gastric surgery for ulcer disease.溃疡病行胃手术后与溃疡复发相关的并发症。
Gastroenterol Jpn. 1992 Feb;27(1):129-41. doi: 10.1007/BF02775076.
4
An interim report on parietal cell vagotomy versus selective vagotomy and antrectomy for treatment of duodenal ulcer.壁细胞迷走神经切断术与选择性迷走神经切断术加胃窦切除术治疗十二指肠溃疡的中期报告
Ann Surg. 1979 May;189(5):643-53. doi: 10.1097/00000658-197905000-00015.