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胃溃疡:100例患者的保守手术治疗(作者译)

[Gastric ulcer: conservative surgical treatment in 100 patients (author's transl)].

作者信息

Gayral F, Ghouti A, Salmon R, Alexandre J H, Larrieu H

出版信息

Nouv Presse Med. 1979 Oct 15;8(39):3131-3.

PMID:537872
Abstract

One hundred patients with gastric ulcer underwent surgery without gastric mutilation by a technique initially directed against stasis by pyloroplasty, vagotomy and, according to the site of the ulcer, its limited resection or biopsy. In half of the cases, the indication was that of the development of a complication. Eight patients died, 6 of them from amongst the 44 haemorrhagic ulcers. Two deaths were favourised by a complication specific to the procedure used. 86% of the patients followed up had an excellent or good result. Six recurrences of ulcers were seen, including two which again recurred after gastrectomy. Morbidity and mortality, in particular in the case of bleeding, appear to be less after vagotomy than after gastrectomy. The long term results in terms of ulcer disease of the two methods are similar.

摘要

100例胃溃疡患者接受了未行胃大部切除术的手术,采用的技术最初是通过幽门成形术、迷走神经切断术来解决胃潴留问题,并根据溃疡部位进行有限切除或活检。在一半的病例中,手术指征是出现了并发症。8例患者死亡,其中6例死于44例出血性溃疡患者中。有2例死亡是由所用手术的特定并发症导致的。86%接受随访的患者结果为优或良。观察到6例溃疡复发,其中2例在胃切除术后再次复发。迷走神经切断术后的发病率和死亡率,尤其是出血情况,似乎比胃切除术后要低。两种方法在溃疡病方面的长期结果相似。

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