【摘要】 本文报道30例胃壁细胞迷走神经切除术和50例改良式选择性迷走神经切断加胃窦切除术。术后胃液分析与术前的差异非常显著(P<0.001)。随访半年至3年半,近期疗效均属优、良。作者认为应严格掌握手术指征,食管下端至少要剥离5厘米以上,膈下食管旁置引流管可减少术后并发症的发生.更多还原

【Abstract】 This article reports 80 cases of duodenal ulcer treated by parietal cell vagotomy(30cases)and modified selective vagotomy(50 cases)since 1978.There were 70 males and10 females with ages ranged 21-71 yr.The indications were intractable pain,pain withbleeding and pain with pyloric stenosis.All the cases were followed up for 0.5-3.5 yr.The results of these 80 cases were very satisfactory or better than that of 740 subtotalgastrectomies in our hospital.No recurrence of ulcer was observed so far.It is the au-thors’ experience that the lower 5-7 cm esophagus must be dissected free and the para-esophageal space be drained for 24-72 hr in order to avoid postoperative dysphagia.更多还原