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本文作者研究了1973～1981年间用近侧胃迷走神经切断术(PGV)治疗原发消化性溃疡396例的远期溃疡复发率,并评价了全部病人的最终临床效果.本组396例,男264例,女132例.平均年龄52岁.其中原发十二指肠溃疡293例(74%);胃体部溃疡14例(4%);幽门或幽门前溃疡43例(11%)以及胃、幽门、幽门前和十二指肠复合溃疡43例(11%).本组手术指征为顽固性溃疡274例(67%),梗阻性68例(17%),活动性或近期出血46例(12%),穿孔性8例(2%).51例梗阻病人附加了引流术,其中21例为幽门成形术,31例为胃肠吻合术.全组中382例(96%)获得了随访,随访期为5～13年,平均为8.4±0.2年.
The authors studied the long-term ulcer recurrence rates of 396 primary peptic ulcer patients treated with proximal gastric vagotomy (PGV) between 1973 and 1981 and evaluated the final clinical outcome for all patients, 396 in this group, male 264 The average age was 52. Among them, 293 cases (74%) had primary duodenal ulcer, 14 cases (4%) had gastric ulcer, 43 cases (11%) had pyloric or pyloric ulcer, and gastric , Pyloric, pyloric and duodenal composite ulcer in 43 cases (11%) .This group of surgical indications for refractory ulcer in 274 cases (67%), obstruction in 68 cases (17%), activity or recent bleeding 46 Perforation was performed in 12 cases (12%) and perforation in 8 cases (2%). A total of 51 obstructive patients were treated with drainage, of which 21 were pyloroplasty and 31 were gastrointestinal anastomosis. Of the total, 382 (96%) received Follow-up, follow-up period was 5 to 13 years, with an average of 8.4 ± 0.2 years.