逆行高选迷走神经切断的研究  

Experimental study of retrograde selec-tive vagotomy

作　　者：陈道达[1] 尤伟[1] 陶凯雄[1] 周友生[1] 胡进松 田元[1] 

机构地区：[1]武汉同济医科大学附属协和医院

出　　处：《中华实验外科杂志》1995年第6期354-355,共2页Chinese Journal of Experimental Surgery

摘　　要：高选择性迷走神经切断术（ＨＳＶ）后溃疡复发率高的原因：①迷走神经的解剖变异；②手术操作困难。均可导致胃底、体神经的分支切断不完全。针对该原因我们设计一改进ＨＳＶ，１９９０年９月起实验研究，采用ＨＲＰ神经逆行追踪等方法证明设计手术切断胃底、体迷走神经支配完全，胃窦“鸦爪”支迷走神经保留完好。The reasons for high relapse rate of ulcerare 1.the anatomic variation of vagus nerve;2.incomplete cutting of vagus nerve due to thedifficulty of operation. We designed a modifiedhigh selective vagotomy from and fromSeptember, 1990 conducted the experimentalstudy on 22 dogs. The HRP nervous retro-grade tracing on the postoperative dogsshowed complete cutting of nerve branches tothe fundus and the body and good conserva-tion of function of the antral claws nerves.

关 键 词：逆行高选 十二指肠溃疡 迷走神经切断 

分 类 号：R573.105[医药卫生—消化系统] R651.3[医药卫生—内科学]