慢性十二指肠溃疡疾病的迷走神经干切断术与引流术：一项对照试验。
Truncal vagotomy and drainage for chronic duodenal ulcer disease: a controlled trial.
作者信息
Kennedy F, MacKay C, Bedi B S, Kay A W
出版信息
Br Med J. 1973 Apr 14;2(5858):71-5. doi: 10.1136/bmj.2.5858.71.
The results of elective truncal vagotomy and drainage in 547 duodenal ulcer patients are reported. Altogether, 204 patients were randomly allocated to pyloroplasty and 200 to gastrojejunostomy. In 101 patients gastrojejunostomy was electively chosen and in 42 patients the duodenum was opened to confirm the diagnosis. Operative mortality was 0.5%, the incidence of proved recurrent ulceration 3.3%, severe dumping 2%, and severe diarrhoea 1.1%. There were no significant differences between the groups, with the exception of bilious vomiting which occurred more often in patients with gastrojejunostomy.
报告了547例十二指肠溃疡患者选择性迷走神经干切断术和引流术的结果。总共204例患者被随机分配到幽门成形术组，200例被分配到胃空肠吻合术组。101例患者被选择性地选择了胃空肠吻合术，42例患者打开十二指肠以确诊。手术死亡率为0.5%，证实复发性溃疡的发生率为3.3%，严重倾倒综合征为2%，严重腹泻为1.1%。除了胃空肠吻合术患者胆汁性呕吐更常见外，各组之间没有显著差异。
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