扩大壁细胞迷走神经切断术治疗十二指肠溃疡并发症10年随访报告  

Extended parietal cell vagotomy in the treatment of complication of duodenal ulcer:10 years follow-up.

作　　者：李世拥[1] 安萍[1] 苑树俊[1] 梁振家[1] 

机构地区：[1]北京军区总医院普通外科

出　　处：《中国实用外科杂志》1998年第1期23-25,共3页Chinese Journal of Practical Surgery

摘　　要：自１９７９年始采用自行设计的扩大壁细胞迷走神经切断术（ＥＰＣＶ）共治疗十二指肠溃疡并发症１３３例，其中穿孔９３例，出血１１例，狭窄２９例。经１０年随访结果显示，溃疡复发率为２６％，再狭窄率３４％，无再出血率。ＶｉｓｉｃⅠ级和Ⅱ级为９２８％。ＥＰＣＶ术后远期病人的消化吸收功能、营养状态，以及恢复劳动能力和生存质量都较高，进一步证实该手术设计的合理性和可行性。Since 1979,133 patients with complications due to duodenal ulcer were treated by extended parietal cell vagotomy.Among them,93 patients were acute perforation,11 patients hemorrhage and 29 patients stenosis.Postoperative follow-up for 10 years show that ulcer recurrence was 2 6%,restenosis 3 4% and no recurrent hemorrhage.Visick classification indicated that grade Ⅰ,Ⅱ,Ⅲ and Ⅳ were 81 2%,11 6%,3 6% and 3 6% respectively,grade Ⅰ and Ⅱ were 92 8%.The authors believe that extended parital cell Vagotomy should be the treatment of choice for acute perforation,hemorrhage or stenosis from duodenal ulcer.

关 键 词：十二指肠溃疡 迷走神经切断术 并发症 EPCV 

分 类 号：R656.62[医药卫生—外科学]