Walia H S, Abd el-Karim H A
Department of Surgery, Al-Amiri Hospital, Kuwait.
World J Surg. 1994 Sep-Oct;18(5):758-63. doi: 10.1007/BF00298924.
In a prospective randomized trial, anterior lesser curve seromytomy with posterior truncal vagotomy (ASPTV, n = 50) was compared with proximal gastric vagotomy (PGV, n = 50). Most of our patients were young men with ASA grade I risk, and 80% were expatriates. They were followed up for 3 to 8 years after surgery. The mean reductions of basal acid output (BAO) and insulin-stimulated peak acid output (IPAO) were 85% and 88%, respectively, soon after surgery for both ASPTV and PGV groups. These values remained at 70% and 60% of their preoperative level for 1 year. Good to excellent results (Visick I and II) were recorded in 76% of cases in both groups. The recurrent ulcer rate was 14% for PGV and 12% for ASPTV. This trial suggests that for the treatment of duodenal ulcer ASPTV is as good an operation as PGV.
在一项前瞻性随机试验中，将前小弯血清肌切开术联合后干迷走神经切断术（ASPTV，n = 50）与近端胃迷走神经切断术（PGV，n = 50）进行了比较。我们的大多数患者为ASA I级风险的年轻男性，80%为外籍人士。术后对他们进行了3至8年的随访。术后不久，ASPTV组和PGV组的基础胃酸分泌量（BAO）和胰岛素刺激的胃酸分泌峰值（IPAO）平均降低率分别为85%和88%。这些值在术后1年保持在术前水平的70%和60%。两组76%的病例获得了良好至优秀的结果（Visick I级和II级）。PGV组的复发性溃疡率为14%，ASPTV组为12%。该试验表明，对于十二指肠溃疡的治疗，ASPTV与PGV一样是一种良好的手术方式。
