李世拥 安萍 苑树俊 梁振家 北京军区总医院普通外科(北京.100700) 中国胃肠外科杂志 1999 0 2 1


    关键词：十二指肠溃疡；并发症；扩大壁细胞迷走神经切断术；长期随访 期刊 zgwcwkzz 0 论著 fur -->


    

摘要 目的 探讨扩大壁细胞迷走神经切断术(EPCV)的远期临床效果。方法 自1979年始应用EPCV治疗十二指肠溃疡并发穿孔、出血和狭窄150例，其中穿孔103例，出血12例，狭窄35例。结果 全组131例获得随访，总的溃疡复发率为2.3%，复发狭窄率为2.9%，再出血率为0。VisickⅠ级为83.2%，Ⅱ级为10.6%，Ⅲ级为3.1%，Ⅳ级为3.1%；Ⅰ级和Ⅱ级共占93.8%。结论 作者认为EPCV术后远期患者无论是消化吸收功能和营养状态，还是恢复劳动能力和生活质量都较高，进一步证实该手术设计的合理性和可行性。

Long-term effect of extendedparietal cell vagotomy in the treatment o f complication due to duodenal ulcer

Li Shiyong, An Ping ,Yuan Shujun ,et al.

    Bejing Army General Hospital. Beijing 100700.

Abstract Objective To study thelong-term effect of extended parietal cell vagotomy in the treatment of perforation,hemorrhage and stenosis due to du o denal ulcer. Methods Since 1979, wehave treated 150 patients with complication due to duodenal ulcer by extended parietalcell vagotomy. 103 of the 150 patients with acute perforation, 12 with hemorrhage and 35with sten osis. Results Postoperative follow-up 11.8 years, ulcer recurrence was 2.3%,restenosis was 2.9%,and no recurrent hemorrhage. Visick classification,83.2% belong to grade Ⅰ,10.6% grade Ⅱ,3.1% grade Ⅲ,and 3.1% grade Ⅳ,93.8%grade Ⅰand Ⅱ. Conclusions The authors believe th at extended paritalcell vagotomy should be the treatment of choice for acute pe rforation,hemorrhage orstenosis duodenal ulcer.

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