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目的 探讨胃小弯前壁浆肌层切开加后迷走神经干切断术 (ASPTV)在十二指肠溃疡急性穿孔治疗中的作用。方法 回顾性分析采用ASPTV治疗十二指肠溃疡急性穿孔 7例患者的临床资料。结果 术中、术后过程均顺利 ,无胃潴留等严重并发症 ,1例术后近期腹泻 ,服药后痊愈。随访 2年 ,1例偶有上腹隐痛 ,服药后缓解 ;另 6例临床症状消失 ,生活质量良好。结论 ASPTV术式简捷、安全 ,疗效满意 ,手术创伤小 ,是十二指肠溃疡及穿孔的良好替代术式。
Objective To investigate the role of the anterior wall of the anterior wall of gastric parietal myometrium in the treatment of acute perforation of duodenal ulcer by incision of vagus nerve trunk (ASPTV). Methods The clinical data of 7 patients with acute perforation of duodenal ulcer treated with ASPTV were retrospectively analyzed. Results The intraoperative and postoperative follow-up was smooth with no serious complications such as gastric retention. One case had recent postoperative diarrhea and recovered after taking the medicine. After 2 years of follow-up, 1 case had occasional upper abdominal pain and relieved after taking medicine. The other 6 cases disappeared and the quality of life was good. Conclusions ASPTV is a simple, safe and effective method with less trauma and is a good substitute for duodenal ulcer and perforation.