摘要
应用高选迷切术(HSV)的改良术式—胃小弯和胃底部浆肌层切开术(LFS)治疗十二指肠溃疡42例,其中合并幽门梗阻者4例。28例分别于术前和术后作了五肽胃泌素胃液分析,BAO、MAO和PAO分别平均下降了72.9%,68.7%和64.9%。全部病例随访3.5～11年,Visick Ⅰ级28例(66.7%),Ⅱ级9例(21.4%),Ⅲ级3例(7.1%),Ⅳ级2例(4.8%)。结果表明,LFS具有操作简单、迷切完全、疗效好、并发症少等优点。
Lesser gastric curve and fundus seromyotomy (LFS), a modified operation for highly selective vagotomy has been applied to 42 patients with duodenal ulcer, of which four ones were complicated with pyloric stenosis. The results of pentagastrin tests for BAO, MAO and PAO revealed a mean 72.9, 68.7 and 64.9 percant reduction respectively in 28 patients postoperatively, compared with the values obtained preoperatively. During the period of follow-up of 3. 5 to 11 years, 28 were classified as Visick Ⅰ (66.7%); nine as Visick (21.4%); three as Visick Ⅲ (7. 5%)and two as Visick Ⅳ (4.8%). The results indicate that LFS produces a complete vagotomy expeditiously with a relatively simple and easily performed procedure, and postoperative complications rare as well as curative effect good.
出处
《广东医学》
CAS
CSCD
1996年第1期5-7,共3页
Guangdong Medical Journal
