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[不同手术干预措施治疗消化性溃疡的疗效临床评估]

[Clinical evaluation of the effectiveness of different surgical interventions in peptic ulcer].

作者信息

Mikhailova T F, Gorbashko A I, Merzlikin G S, Chaudze R A

出版信息

Vestn Khir Im I I Grek. 1975 Jan;114(1):21-5.

PMID:5801
Abstract

The clinical status, secretory and motor activity of the stomach were studied in 213 patients showing ulcerous disease prior to surgery and in 153 operated patients. The most favourable results were noted after resection of two thirds of the stomach in Billroth I modification with preservation of the pyloric compressor. These patients along with suppression of acid-formation retained normal portional evacuation of the gastric content. Selective vagotomy with resection of the ulcer and pyloroplasty in a number of patients produced no considerable reduction in acid-formation both in the early postoperative period and in later terms.

摘要

对213例术前患有溃疡病的患者和153例接受手术的患者的胃的临床状况、分泌和运动活性进行了研究。在保留幽门括约肌的Billroth I改良术式切除三分之二胃后,观察到了最理想的结果。这些患者在胃酸分泌受到抑制的同时,胃内容物仍保持正常比例排空。在一些患者中,选择性迷走神经切断术联合溃疡切除术和幽门成形术,在术后早期和后期均未使胃酸分泌显著减少。

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