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[腹腔镜迷走神经切断术治疗慢性十二指肠溃疡的经验]

[Experience of laparoscopic vagotomy for the treatment of chronic duodenal ulcer].

作者信息

Chen J, Xu J, Wu Z

机构信息

Department of Surgery, Zhongshan Hospital, Shanghai Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):421-3.

PMID:9590795
Abstract

Ten patients with chronic duodenal ulcer underwent posterior truncal vagotomy combined with anterior seromyotomy of lesser curvature of the stomach (Taylor's procedure). Perioperative acid secretory studies (Horlland test) and gastric emptying tests were performed. Postoperative recovery was uneventful in all patients. The acid secretory studies showed decreased BAO, MAO and PAO (P < 0.01). The postoperative gastric emptying was significantly delayed, and the patients are all symptom free. Follow up gastroscopy revealed ulcer healing in 7 patients.

摘要

10例慢性十二指肠溃疡患者接受了胃后干切断术联合胃小弯前壁浆膜切开术(泰勒手术)。进行了围手术期胃酸分泌研究(霍兰德试验)和胃排空试验。所有患者术后恢复顺利。胃酸分泌研究显示基础胃酸分泌量(BAO)、最大胃酸分泌量(MAO)和高峰胃酸排量(PAO)均降低(P<0.01)。术后胃排空明显延迟,所有患者均无症状。随访胃镜检查显示7例患者溃疡愈合。

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