扩大壁细胞迷走神经切断术治疗十二指肠溃疡急性穿孔体会  

Extended parietal cell vagotomy in treatment of acute perforated duodenal ulcer

作　　者：段建平[1] 段泽辉[1] 梁振家[2] 

机构地区：[1]广东省南雄市人民医院普外科,512400 [2]中国人民解放军北京军区总医院普外科,100700

出　　处：《岭南现代临床外科》2007年第4期253-254,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨扩大壁细胞迷走神经切断术(EPCV)治疗十二指肠溃疡急性穿孔的效果。方法回顾性分析2002年1月至2006年10月29例十二指肠溃疡急性穿孔患者行扩大壁细胞迷走神经切断术治疗的临床资料。结果本组病例均临床治愈出院,其中21例获随访。Visick分级,Ⅰ级24例(82.9%);Ⅱ级3例(10.3%);Ⅲ级1例(3.4%);Ⅳ级1例(3.4%);Ⅰ级和Ⅱ级共占27例(93.2%)。十二指肠溃疡复发1例(3.4%)。结论规范化EPCV手术治疗十二指肠溃疡急性穿孔的术后复发率低,临床效果满意。因此,EPCV术是目前治疗十二指肠溃疡急性穿孔首选的术式。Objective To evaluate the effects of the extended parietal cell vagotomy on acute duodenal ulcer. Methods The clinical data of twenty-nine patients with acute perforated duodenal ulcer（APDU）treated with the extended parietal cell vagotomy were analyzed retrospectively. Results All patients were cured and no postoperative complications happened.Twenty-one patients of the total received follew-up. Visick classification： 82.9% belong to grade Ⅰ, 10.3% grade Ⅱ , 3.4% grade m, and 3.4% grade Ⅳ. 93.2% was grade Ⅰ and Ⅱ. recurrence of duodenal ulcer was in 1 case（3.4%）. Conclusion Normalized EPCV possesses a low postoperative recurrence rate and satisfactory curative effect in the treatment of acute perforated duodenal ulcer.So,it is surgical procedure of first choice for treating APDU at present.

关 键 词：十二指肠溃疡 穿孔 扩大壁细胞迷走神经切断术 

分 类 号：R656.6[医药卫生—外科学]