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溃疡病的外科治疗——附689例病例分析

Surgical Treatment of Gastroduodenal Ulcer——Analysis of 689 Cases

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【作者】 李益深; 张挽华; 张绍荣; 尹光琪;

【Author】 Li Yi-Shen, et al

【机构】 北京医学院第三附属医院外科; 北京医学院第三附属医院外科;

【摘要】 689例胃、十二指肠溃疡经外科手术治疗,从术后併发症和远期疗效分析可以看出,不同的吻合方法无明显差别。迷走神经干切断术后的腹泻发生率高。胃次全切除术后患有上腹痛的某些病例,可能由于返流性胃炎所致,胃次全切除术在治疗溃疡病方面,仍被认为是可取的方法,特别对于溃疡病并发穿孔者,还能降低术后併发症和死亡率。

【Abstract】 689 cases of gastroduodenal ulcer treated surgically with various kinds of anastomosis were analized. No significant differences from complications, and long-term result were revealed. The high incidence of diarrhea was encountered following truncal vagotomy. Some of patients suffered from upper abdominal pain following subtotal gastrectomies might be due to regurgitant gastritis, hut this procedure is still considered as method of choice for treatment of gastroduodenal ulcer, especially for perforated ulcers which can lower the postoperative morbidity and mortality.

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