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[吻合口溃疡的外科治疗。1. 短期结果]

[Surgical treatment of anastomosis ulcers. 1. Short-term results].

作者信息

Lüders K, Fellmann E, März E

出版信息

Fortschr Med. 1980 Feb 14;98(6):204-8.

PMID:7364374
Abstract

Records of 151 patients from the years 1964--1979 with anastomotic ulcers including relapses of ulcers after vagotomy reveal a total lethality of 3.3 per cent after reoperation. Re-gastrectomy with or without additional vagotomy shows a lethality of 5.7 per cent. If vagotomy alone is carried out there were no lethality and nearly no serious complications. Gastrectomy because of recurrent peptic ulcer after primary vagotomy has also no lethality. With regard to less serious postoperative complications including lethality after vagotomy instead of re-gastrectomy we should favour vagotomy for re-operation. Our further examinations will show whether this attitude is justified by long-term results after re-operation of the stomach in consequence of recurrent pepti ulcer.

摘要

1964年至1979年间,151例患有吻合口溃疡(包括迷走神经切断术后溃疡复发)患者的记录显示,再次手术后的总死亡率为3.3%。行或不行附加迷走神经切断术的再次胃切除术的死亡率为5.7%。若仅行迷走神经切断术,则无死亡病例,且几乎无严重并发症。因初次迷走神经切断术后复发性消化性溃疡而行胃切除术也无死亡病例。关于包括迷走神经切断术后死亡在内的不太严重的术后并发症,相较于再次胃切除术,我们更倾向于选择迷走神经切断术进行再次手术。我们进一步的检查将表明,这种态度是否因复发性消化性溃疡导致胃再次手术后的长期结果而合理。

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