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[迷走神经切断术后溃疡复发的治疗方法及手术干预的选择]

[The choice of the method of treatment and surgical intervention in the postvagotomy recurrence of ulcers].

作者信息

Volobuev N N, Sidorenko V D, Chemodurov N T, Voronov N V, Kriklivaia S G, Mikhal'chevskiĭ P S, Amer D

出版信息

Vestn Khir Im I I Grek. 1993 Mar-Apr;150(3-4):14-8.

PMID:8379060
Abstract

Recurrent ulcers after vagotomy make their appearance mainly within the first 2 years after operation. Main causes of recurrences are: not complete vagotomy, disturbance of the motor-evacuatory function of the stomach and duodenum and their combination. Continuous rational antiulcer therapy is expedient for noncomplicated course of the recurrent ulcer. The method of reoperation must be chosen with reference to causes of the recidivation established by findings of special preoperative examinations and suboperative data.

摘要

迷走神经切断术后复发性溃疡主要在术后头两年内出现。复发的主要原因是:迷走神经切断不完全、胃和十二指肠运动排空功能紊乱及其合并存在。对于复发性溃疡的非复杂病程,持续进行合理的抗溃疡治疗是适宜的。必须根据术前特殊检查结果和术中数据所确定的复发原因来选择再次手术的方法。

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