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[十二指肠溃疡患者选择性近端迷走神经切断术后的胃运动排空功能]

[Stomach motor evacuatory function in duodenal ulcer patients following selective proximal vagotomy].

作者信息

Aliev M A, Kabdrakhmanov T K, Kashkin K A, Darmenov O K, Kuspangalieva Sh U

出版信息

Med Radiol (Mosk). 1983 Jun;28(6):58-61.

PMID:6865688
Abstract

Motor-evacuatory stomach function by using continuous radiogastrography was studied in 89 patients with duodenal ulcers. Altogether 131 radiogastrograms were analyzed, of them 57 before operation, 84 on the 7th-15th day after selective proximal vagotomy performed either independently or in combination with draining operations. A faster evacuation of food from the stomach prevailed in an uncomplicated form of duodenal ulcer and compensated stenosis of the pyloroduodenal zone, evacuatory stomach function was retarded or absent in subcompensated and decompensated stenosis. Discoordinated gastric peristalsis and a reverse food input were noted in patients with subcompensated stenosis. At early time after operations temporary inhibition of evacuatory stomach function occurred in 94.2% of the patients; it could be corrected with conservative therapeutic measures.

摘要

采用连续放射胃造影术对89例十二指肠溃疡患者的胃运动排空功能进行了研究。共分析了131份放射胃造影片,其中57份术前,84份在选择性近端迷走神经切断术单独或联合引流手术后第7 - 15天。在单纯性十二指肠溃疡和幽门十二指肠区代偿性狭窄患者中,胃内食物排空较快,而在亚代偿性和失代偿性狭窄患者中,胃排空功能延迟或缺失。在亚代偿性狭窄患者中观察到不协调的胃蠕动和食物反流。术后早期,94.2%的患者出现胃排空功能暂时抑制;可通过保守治疗措施纠正。

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