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本组手术病人为无并发病、活动性十二指肠、幽门或幽门前溃疡,或并有胃体溃疡者。手术指征为H_2受体拮抗剂治疗无效或治疗期间反复复发,顺应性差或自愿手术者。79例随机分组。幽门、幽门前和胃溃疡经幽门成形或胃窦大弯侧切口切除,病检证实为良性。术前及术后3~6月行五肽胃泌素、胰岛素或假饲法标准胃酸分泌试验。取基础胃液测定胆酸,胆酸量≥100 umol/小时则定为有胆汁反流。
This group of patients with non-concurrent surgery, active duodenal, pyloric or pyloric ulcers, or gastric ulcer. Indications for surgery were discontinuation of H 2 receptor antagonist therapy or relapse during treatment, poor compliance or voluntary surgery. 79 cases were randomly divided into groups. Pylorus, pyloric and gastric ulcer by pyloroplasty or large curved incision on the antrum, pathological examination proved benign. Preoperative and postoperative 3 to 6 months pentagastrin, insulin or pseudo feeding method standard gastric acid secretion test. Determination of basal gastric juice was determined bile acid, bile acid volume ≥ 100 umol / hour is defined as bile reflux.