保留交感神经的壁细胞迷走神经切断术  

Parietal cell vagotomy with adrenergic preservation

作　　者：刘民生[1] 高春芳[1] 黎介寿[1] 邹忠寿[1] 

机构地区：[1]河南洛阳解放军150中心医院,南京军区南京总医院普外研究所

出　　处：《中华普通外科杂志》1997年第5期296-298,共3页Chinese Journal of General Surgery

摘　　要：作者采用保留交感神经的壁细胞迷走神经切断术（ＰＣＶ－ＡＰ）治疗十二指肠溃疡１６例。临床结果表明：ＰＣＶ－ＡＰ针对性切断了支配壁细胞区域的迷走神，同时保留了交感神经及血管，减轻了对机体的损伤，降低了并发症的发生率。降酸作用与ＰＣＶ手术相比更为显著，平均ＢＡＯ下降７７．９％，ＰＭＡＯ下降５７．２％，ＩＭＡＯ１下降８２．１％，ＩＭＡＯ２下降了７６．７％。术后８个月胃镜复查溃疡已基本愈合。ＰＣＶ－ＡＰ是在ＰＣＶ基础上的发展，手术操作比ＰＣＶ更为精细。作者还介绍了ＰＣＶ－ＡＰ的治疗结果及手术方法。Sixteen patients with duodenal ulcer were treated by parietal cell vagotomy with adrenergic preservation (PCV-AP). The clinical results showed that PCV-AP denervated the parietal cells only the rami vagus while preserve adrenergic innervation to parietal cells. The effect of reducing gastricacid secretion in PCV-AP was superior to that in PCV. The results of PCV-AP was excellent. Postoperative endoscopic follow-up performed 8 months after found that the ulcer was almost healed in all 16cases. BAO was reduced by 77. 9a,PMAO was reduced by 57. 2%,IMAO1 and IMAO2 were reduced by82. 1% and 76. 7% respectively in the early postoperative period. PCV-AP demanded more meticulousmaneuvre in contrast with PCV. The article detailed the operative procedure of PCV-AP and reportedthe preliminary results of PCV-AP for treating duodenal ulcer.

关 键 词：迷走神经切断术 十二指肠溃疡 外科手术 

分 类 号：R656.62[医药卫生—外科学]