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自１９８７年以来，采用高选迷切加胃窦粘膜切除术（ＨＳＶ＋ＭＡ）治疗十二指肠溃疡４５例。经１～７年随访，结果无手术死亡，临床属Ｖｉｓｉｃｋ分级Ⅰ级～Ⅱ级者占９１．１％。术后胃酸分泌较术前有所降低，胃液和血清胃泌素水平术后虽然较术前显著降低，但无统计学意义。术后胃液胆酸和细菌含量较术前相比无显著变化。Ｘ线钡餐和胃镜检查未发现溃疡复发。结果表明，ＨＳＶ＋ＭＡ不仅能有效降低胃酸分泌，减少溃疡复发，而且能保存胃窦和幽门功能，防止术后肠胃返流和胃内细菌过度繁殖，是一种治疗十二指肠溃疡较理想术式
Forty-five cases of duodenal ulcer have been treated with HSV + MA since 1987. After 1 to 7 years of follow-up, the results of no surgical death, clinical Visick grading Ⅰ ~ Ⅱ grade accounted for 91.1%. Postoperative gastric acid secretion decreased compared with preoperative, gastric juice and serum gastrin levels although significantly lower than before surgery, but no statistically significant. After gastric juice bile acid and bacteria content compared with the preoperative no significant change. X-ray barium meal and gastroscopy found no ulcer recurrence. The results showed that HSV + MA not only can effectively reduce gastric acid secretion and reduce ulcer recurrence, but also can preserve gastric antrum and pylorus function, prevent postoperative gastrointestinal reflux and bacterial overgrowth in the stomach, which is a more ideal surgical treatment of duodenal ulcer