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[十二指肠溃疡保守手术效果的X线评估]

[Roentgenological assessment of conservative surgery outcomes in duodenal ulcer].

作者信息

Sal'man M M

机构信息

City Clinic Hospital of "Medsantrud".

出版信息

Klin Med (Mosk). 1997;75(5):28-9.

PMID:9235404
Abstract

The results of duodenal ulcer treatment have been analyzed for 240 patients. Selective proximal vagotomy (SPV) was performed in 198 patients with uncomplicated disease, and SPV with gastroduodenoanastomosis (SPV + GDA) was conducted in 42 patients with different ulcer complications. All the patients were examined by X-ray before the operation and throughout 10-14 days, 2-3 months, 1 year and so on each year within 10-15 years. X-ray evidence was compared with operative, endoscopy and clinical findings. SPV brought a complete recovery in 92.5 while SPV + GDA in 86% of cases. Neither SPV nor SPV+GDA contribute to development of cholelithiasis.

摘要

对240例十二指肠溃疡患者的治疗结果进行了分析。198例无并发症的患者接受了选择性近端迷走神经切断术(SPV),42例有不同溃疡并发症的患者接受了选择性近端迷走神经切断术加胃十二指肠吻合术(SPV+GDA)。所有患者在手术前以及术后10 - 14天、2 - 3个月、1年等每年进行10 - 15年的X线检查。将X线检查结果与手术、内镜检查及临床结果进行比较。SPV组92.5%的患者完全康复,SPV+GDA组为86%。SPV和SPV+GDA均未导致胆石症的发生。

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