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后干迷走神经切断术和前曲浅表浆膜肌层切开术作为十二指肠慢性溃疡手术治疗的一种替代方法。

Posterior truncal vagotomy and anterior curve superficial seromyotomy as an alternative for the surgical management of chronic ulcer of the duodenum.

作者信息

Lygidakis N J

出版信息

Surg Gynecol Obstet. 1984 Mar;158(3):251-4.

PMID:6422569
Abstract

In this study, the value of anterior superficial seromyotomy and posterior truncal vagotomy without a supplemental gastric drainage procedure was assessed in patients operated upon for ulcers of the duodenum. The results revealed that this technique is a simple, safe and effective procedure for the management of patients with chronic ulcers of the duodenum. Indeed, it was shown that there was no mortality, a minimum of early morbidity and satisfactory results in terms of the effect on gastric secretory studies and the influence on gastric emptying capacity. Thus, significant reduction on the mean B. A. O. and M. A. O. preoperative values, negative postoperative insulin test results, complete absence of gastric stasis and a mean normal gastric emptying time in isotope gastric emptying studies was demonstrated.

摘要

在本研究中,对接受十二指肠溃疡手术的患者评估了前表浅浆膜肌层切开术和后干迷走神经切断术而不附加胃引流手术的价值。结果显示,该技术对于十二指肠慢性溃疡患者的治疗是一种简单、安全且有效的手术。事实上,研究表明该手术无死亡率,早期发病率最低,并且在对胃分泌研究的影响以及对胃排空能力的影响方面取得了令人满意的结果。因此,术前平均基础胃酸分泌量(BAO)和最大胃酸分泌量(MAO)显著降低,术后胰岛素试验结果为阴性,完全没有胃潴留,并且在同位素胃排空研究中胃排空时间平均正常。

相似文献

1
Posterior truncal vagotomy and anterior curve superficial seromyotomy as an alternative for the surgical management of chronic ulcer of the duodenum.后干迷走神经切断术和前曲浅表浆膜肌层切开术作为十二指肠慢性溃疡手术治疗的一种替代方法。
Surg Gynecol Obstet. 1984 Mar;158(3):251-4.
2
[The contribution of anterior seromyotomy with posterior truncal vagotomy in the treatment of chronic duodenal ulcer].前壁浆膜肌层切开术联合后干迷走神经切断术在慢性十二指肠溃疡治疗中的作用
Acta Chir Belg. 1988 Mar-Apr;88(2):123-5.
3
Posterior truncal vagotomy and stapling of the anterior stomach wall in 30 patients with duodenal ulcer: acid inhibition, gastric emptying, and endoscopic dye spraying. Prospects for endoscopic vagotomy.30例十二指肠溃疡患者行后干迷走神经切断术及前胃壁吻合术:酸抑制、胃排空及内镜下染料喷洒。内镜下迷走神经切断术的前景。
Surg Laparosc Endosc. 1993 Oct;3(5):375-80.
4
Posterior vagotomy and anterior seromyotomy as elective surgery for duodenal ulcer disease.选择性迷走神经后干切断术及前壁浆肌层切开术治疗十二指肠溃疡病
Hepatogastroenterology. 1999 May-Jun;46(27):1507-16.
5
Anterior seromyotomy with posterior truncal vagotomy in uncomplicated chronic duodenal ulcer.单纯性慢性十二指肠溃疡的前壁浆膜肌层切开术加迷走神经干后支切断术
J Postgrad Med. 1995 Jul-Sep;41(3):61-3.
6
[Experience of laparoscopic vagotomy for the treatment of chronic duodenal ulcer].[腹腔镜迷走神经切断术治疗慢性十二指肠溃疡的经验]
Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):421-3.
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Anterior seromyotomy and posterior truncal vagotomy--technique and early results of a randomized trial.前侧浆膜肌层切开术与后侧迷走神经干切断术——一项随机试验的技术与早期结果
Neth J Surg. 1985 Jun;37(3):69-74.
8
[Status of the emptying function of the stomach in patients with duodenal ulcer after vagotomy with draining operations].[十二指肠溃疡患者迷走神经切断加引流术后胃排空功能状况]
Vestn Khir Im I I Grek. 1989 Sep;143(9):26-9.
9
[Motor-emptying function of the stomach at different periods after truncal vagotomy with antrumectomy in complicated duodenal ulcer].
Vestn Khir Im I I Grek. 1985 May;134(5):44-8.
10
Vagotomy without gastric drainage laparoscopic or thoracoscopic approach.无胃引流的迷走神经切断术:腹腔镜或胸腔镜入路
Hepatogastroenterology. 1999 May-Jun;46(27):1494-9.

引用本文的文献

1
Anterior lesser curve seromyotomy with posterior truncal vagotomy versus proximal gastric vagotomy: results of a prospective randomized trial 3-8 years after surgery.胃小弯前壁浆肌层切开术加迷走神经干切断术与近端胃迷走神经切断术的比较:术后3至8年的前瞻性随机试验结果
World J Surg. 1994 Sep-Oct;18(5):758-63. doi: 10.1007/BF00298924.
2
The centenary of Lester Dragstedt--fifty years of therapeutic vagotomy.莱斯特·德拉格斯泰特诞辰一百周年——治疗性迷走神经切断术的五十年
Yale J Biol Med. 1994 May-Aug;67(3-4):63-80.