近端选择性迷走神经切断术：一项前瞻性研究的结果（作者译）

[Proximal selective vagotomy: results of a prospective study (author's transl)].

作者信息

Zumtobel V, Engelke B, Marrie A, Mühe E

出版信息

Langenbecks Arch Chir. 1977 Nov;345:223-7. doi: 10.1007/BF01305477.

Abstract

In 728 patients operated on because of gastroduodenal ulcers there were early complications in 7.6% and a lethality of 0.13%. Primary drainage operation was performed in 9.5%, secondary drainage in 0.9%. One year after operation, reduction of BAO was 60% and of PAO 50%, in cases of recurrence only 35 and 30%. Postoperative recurrence of duodenal ulcer was seen in 3.1% after one year and in 5.5% after two years. Recurrence of gastric ulcer became apparent in 9.3% after one year and in 3.4% after two years. Reoperation for recurrence was performed in 1.3%.

摘要

在728例因胃十二指肠溃疡接受手术的患者中，早期并发症发生率为7.6%，死亡率为0.13%。9.5%的患者接受了一期引流手术，0.9%的患者接受了二期引流手术。术后一年，基础胃酸分泌量（BAO）降低60%，高峰胃酸分泌量（PAO）降低50%，复发患者中BAO和PAO仅分别降低35%和30%。十二指肠溃疡术后一年复发率为3.1%，两年后为5.5%。胃溃疡术后一年复发率为9.3%，两年后为3.4%。因复发而行再次手术的比例为1.3%。