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毕罗一世式胃切除术与迷走神经切断术加幽门成形术治疗胃溃疡的比较

Billroth I gastric resection versus truncal vagotomy and pyloroplasty in the treatment of gastric ulcer.

作者信息

Madsen P, Kronborg O, Hansen O H, Pedersen T

出版信息

Acta Chir Scand. 1976;142(2):151-3.

PMID:779383
Abstract

Forty-five patients with benign gastric ulcers were treated by truncal vagotomy and pyloroplasty or Billroth I gastric resection in a randomized, controlled trial. Postoperatively, one Billroth I patient died. During the follow-up recurrence occurred in three patients treated by vagotomy, but in no Billroth I patient. The overall functional results according to the classification of Visick were slightly, but unsignificantly better after Billroth I than after vagotomy and pyloroplasty.

摘要

在一项随机对照试验中,45例良性胃溃疡患者接受了迷走神经干切断术加幽门成形术或毕罗Ⅰ式胃切除术治疗。术后,1例接受毕罗Ⅰ式手术的患者死亡。随访期间,3例接受迷走神经切断术的患者出现复发,但接受毕罗Ⅰ式手术的患者无复发。根据维西克(Visick)分类,毕罗Ⅰ式手术后的总体功能结果略好于迷走神经切断术加幽门成形术,但差异无统计学意义。

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1
Billroth I gastric resection versus truncal vagotomy and pyloroplasty in the treatment of gastric ulcer.毕罗一世式胃切除术与迷走神经切断术加幽门成形术治疗胃溃疡的比较
Acta Chir Scand. 1976;142(2):151-3.
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Ann Chir Gynaecol. 1988;77(1):6-8.
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Double pyloroplasty and vagotomy for gastric ulcers.胃溃疡的双幽门成形术和迷走神经切断术
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Br Med J. 1973 Oct 13;4(5884):79-81. doi: 10.1136/bmj.4.5884.79.

引用本文的文献

1
[Surgical treatment of gastroduodenal ulcers in the elderly (author's transl)].
Langenbecks Arch Chir. 1982;356(2):95-103. doi: 10.1007/BF01239457.
2
The long-term outcome of Billroth I partial gastrectomy for benign gastric ulcer.毕罗一式胃部分切除术治疗良性胃溃疡的长期疗效。
Ann Surg. 1982 Feb;195(2):189-95. doi: 10.1097/00000658-198202000-00012.
3
Vagotomy or gastrectomy for elective treatment of benign gastric ulceration?选择性治疗良性胃溃疡时应选择迷走神经切断术还是胃切除术?
Dig Dis Sci. 1985 Apr;30(4):353-61. doi: 10.1007/BF01403845.
4
Postoperative results of distal partial gastrectomy, selective vagotomy plus antrectomy, and selective proximal vagotomy for duodenal ulcers.十二指肠溃疡行远端胃部分切除术、选择性迷走神经切断术加胃窦切除术以及选择性近端迷走神经切断术的术后结果。
Jpn J Surg. 1989 Nov;19(6):708-17. doi: 10.1007/BF02471722.
5
Surgery for gastric ulcer. Inivted commentary.胃溃疡手术。特邀评论
World J Surg. 1977 Jan;1(1):31-2. doi: 10.1007/BF01654726.
6
Surgery for gastric ulcer.
World J Surg. 1977 Jan;1(1):29-31. doi: 10.1007/BF01654725.
7
Parietal cell (highly selective or proximal gastric) vagotomy for peptic ulcer disease.用于治疗消化性溃疡疾病的壁细胞(高度选择性或近端胃)迷走神经切断术。
World J Surg. 1977 Jan;1(1):19-25. doi: 10.1007/BF01654722.