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[穿孔性幽门十二指肠溃疡患者幽门成形术中的单排缝合]

[The single-row suture in the pyloroplasty of patients with perforated pyloroduodenal ulcers].

作者信息

Peregudov S I, Demko A E, Pazhitnov S M

出版信息

Vestn Khir Im I I Grek. 1998;157(3):23-5.

PMID:9751963
Abstract

The authors made an analysis of the immediate and long-term results of truncal vagotomy for perforating gastroduodenal ulcers in accordance with the kind of the suture in operation of stomach drainage. In 282 patients pyloroplasty was performed with placing a two-row suture, in 239 patients a one-row suture was used. Lethality among the patients with the two-row sutures was 2.1% in those with the one-row suture--0.4%. The placing of one-row sutures was followed by a relatively smaller amount of complications at the early postoperative period. An analysis of long-term results has shown that the one-row suture gives much greater amount of excellent results as compared with the two-row suture. The authors recommend to use the one-row suture in all the cases of perforating pyloroduodenal ulcers irrespective of the phase of intraperitoneal inflammation.

摘要

作者根据胃引流手术中缝合的类型,对胃十二指肠穿孔性溃疡行迷走神经干切断术的近期和远期结果进行了分析。282例患者采用双排缝合进行幽门成形术,239例患者采用单排缝合。双排缝合患者的死亡率为2.1%,单排缝合患者的死亡率为0.4%。单排缝合术后早期并发症相对较少。对远期结果的分析表明,与双排缝合相比,单排缝合的优良结果更多。作者建议,在所有幽门十二指肠穿孔性溃疡病例中,无论腹膜内炎症处于何种阶段,均采用单排缝合。

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[Treatment of perforated gastroduodenal ulcers].
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[Vagotomy in perforated duodenal ulcers complicated by peritonitis].
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