摘要
目的:观察穿孔修补术联合高选择性迷走神经切断术(highly selective vagotomy,HSV)治疗十二指肠溃疡穿孔的临床疗效。方法:对2000年～2009年在我院普外科采用穿孔修补术联合高选择性迷走神经切断术治疗十二指肠溃疡穿孔患者的病历资料进行临床分析。结果:共有68例患者纳入本研究,所有患者均无手术并发症,手术时间平均1.5小时,术后随诊8个月至5年,行胃镜、钡餐造影、胃排空检查,疗效满意。Visick Ⅰ-Ⅱ级62例。VisickⅢ级1例。结论:穿孔修补术联合HSV治疗十二指肠溃疡穿孔,手术简单,安全,疗效确切,可作为十二指肠溃疡穿孔的首选术式。
Objective： To evaluate the effectiveness of surgical repair combined with highly selective vagotomy （HSV） in treatment of perforated duodenal ulcer. Methods： Collecting and analyzing clinical data of the patients with perforated duodenal ulcer undergone surgical repair combined with HSV in our hospital from 2000 to 2009. Results： From 2000 to 2009. 68 patients were operated for perforated ulcer in our hospital. No Complications were found in the peri-operative period. Mean operative time was 1.5 hours. The follow-up at 8 months to 5 years was good. Conclusion： In our experience, Surgical repair combined with HSV is simple, safe and effective, and can be used as first choice operation for treatment of perforated peptic ulcer.
出处
《中国医药导刊》
2010年第6期915-916,共2页
Chinese Journal of Medicinal Guide
