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[幽门功能不全性反流性胃炎的外科治疗]

[Surgical treatment of reflux gastritis in pyloric incompetence].

作者信息

Chibisov L P

出版信息

Klin Khir (1962). 1993(12):9-12.

PMID:8046894
Abstract

Examined were 45 patients with reflux-gastritis and pyloric incompetence, including 6 with isolated pyloric incompetence, 39-pyloric incompetence associated with pathology of the other organs. Conservative treatment was effective in 10 patients. Operated on were 35 patients. With the aim of correction of obturative function of the pylorus, the selective pyloric vagotomy alone and in combination with formation of a valve by means of immersion of the anterior semicircle of the pylorus by U-like sutures with a capron thread was performed. In control fibrogastroscopy at the period of up to 3 years after the operation, in all the patients a closure of the pylorus was noted, duodenogastral reflux was absent.

摘要

对45例反流性胃炎合并幽门功能不全的患者进行了检查,其中包括6例单纯幽门功能不全患者,39例幽门功能不全合并其他器官病变患者。10例患者保守治疗有效。35例患者接受了手术。为纠正幽门的阻塞功能,单独进行了选择性幽门迷走神经切断术,并通过用卡普纶线U形缝合使幽门前半圈陷入形成瓣膜的方法进行了联合手术。在术后长达3年的对照纤维胃镜检查中,所有患者均发现幽门关闭,无十二指肠胃反流。

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