摘要
选择性迷切加胃窦切除术(SV-A)治疗十二指肠溃疡是目前防止溃疡复发最有效的手术方法,但术后并发症较多。本文临床对比研究高选迷切加胃窦粘膜切除术(HSV-MA)与SV-A对胃酸和血清胃泌素的影响。结果HSV-MA后的胃酸下降值和血清胃泌素的变化与SV-A后相比无显著差异(P>0.05)。本研究结果表明HSV-MA可以降低HSV后溃疡复发率,而且又保留了胃窦和幽门的功能,可避免SV-A后并发症,是治疗十二指肠溃疡较理想的术式。
The association of selective vagotomy and antrectomy for the treatment of duodenal ulcer is considered as the best procedure to prevent ulcer recurrenceut it brings about too many operative sequelae.The authors of this paper used highly selective vagotomy in association with antrum mocosa resection to treat duodenal ulcer and the effects on gastric acid level and serum level of gastrin were compared with those after selective vagotomy and antrectomy.It was found that the reduction of gastric acid and the changes of serum gastrin were similar after the 2 operative procedures.It is believed that the association of highly selective vagotomy and antrum mocosa resection is the better operative treatment for duodenal ulcer than the association of selective vagotomy and antrectomy since the former can both reduce the number of postoperative sequelae and preserve the functions of the pylorus and the antrum.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1991年第5期447-450,共4页
Journal of Third Military Medical University
关键词
十二指肠溃疡
切手术
胃酸
duodenal ulcer/SU
vagotomy
gastrectomy
gastric acid
ga-strins
