Kummerle F, Rothmund M
Langenbecks Arch Chir. 1977 Nov;345:203-8. doi: 10.1007/BF01305474.
In recent years vagotomy has become more and more prefered in ulcer surgery. Based on the results of prospective trials, gastric resection should be abandoned as treatment of uncomplicated duodenal ulcer. Resections are still indicated for most ulcer complications, such as bleeding, penetration of chronic ulcer, and in recurrent ulcers after vagotomy. The same is true for gastric ulcer type I. Questionnaires indicate, however, that German surgeons still favor the two-thirds resection.
近年来,迷走神经切断术在溃疡手术中越来越受到青睐。根据前瞻性试验结果,胃切除术不应再作为单纯性十二指肠溃疡的治疗方法。对于大多数溃疡并发症,如出血、慢性溃疡穿孔以及迷走神经切断术后的复发性溃疡,仍需进行切除术。I型胃溃疡也是如此。然而,问卷调查显示,德国外科医生仍然倾向于三分之二切除术。