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[慢性胃十二指肠溃疡合并十二指肠动力障碍的外科治疗]

[Surgical treatment of chronic gastroduodenal ulcer complicated with duodenal motility disorders].

作者信息

Oskretkov V I, Vilgelm N P

出版信息

Klin Khir (1962). 1993(12):13-5.

PMID:8046860
Abstract

On the basis of the data of examination of 348 patients with ulcer disease of the stomach and duodenum with the use of roentgeno-endoscopic and functional methods, in (25.9 +/- 2.3) % of them the disorders in motor-evacuatory duodenal function with delayed food passage were revealed. Use of isoperistaltic enteroduodenoplication for correction of the impairement in motor-evacuatory function of the duodenum with insignificant duodenogastral reflux permitted to perform operative intervention with preservation of food passage through the duodenum. Roux resection of the stomach has proved to be the most effective method for correction of the pronounced disorders in motor-evacuatory duodenal function accompanied by reflux-gastritis.

摘要

基于对348例胃和十二指肠溃疡病患者采用X线内镜和功能检查方法所获得的数据,发现其中(25.9±2.3)%的患者存在十二指肠运动排空功能障碍且食物通过延迟。对于十二指肠运动排空功能受损且十二指肠-胃反流不明显的情况,采用等蠕动肠十二指肠吻合术来纠正,能够在保留食物通过十二指肠的情况下进行手术干预。胃Roux切除术已被证明是纠正伴有反流性胃炎的十二指肠运动排空功能明显障碍的最有效方法。

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