胃近端迷走神经切开术不引流治疗十二指肠溃疡。

M Bervar, B Gugić, M Scekić, H Dolić
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引用次数: 0

摘要

报告胃近端迷走神经切开术治疗十二指肠溃疡107例。手术技术已被描述。无手术死亡率,术后即刻并发症极少发生。其中28例患者证实迷走神经切开术不完全。结果表明,单纯性十二指肠溃疡、某些形式的十二指肠溃疡出血、急性溃疡穿孔和糜烂性胃炎的治疗效果最好。在一些穿透性十二指肠溃疡中观察到额外的狭窄。从长期预测来看,乐观是合理的。2例复发性溃疡。
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[Proximal gastric vagotomy without drainage in the treatment of duodenal ulcer].

Observations in the treatment of 107 patients with duodenal ulcer by proximal gastric vagotomy without drainage are reported. Operative technique has been described. There were no operative mortality and immediate postoperative complications rarely occured. Incomplete vagotomy was proved in 2,8 of the operated patients. It has been concluded that the best results could be expected insimple duodenal ulcer, some forms of duodenal ulcer bleeding, perforation of acute ulcer and erosive gastritis. Additional stenosis was observed in some penetrating duodenal ulcers. Optimism is justified in a long-term prognosis. Recurrent ulcer was proved in 2 patients.

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