| 高选择性迷走神经切断加胃窦粘膜切除术对胃泌素和胃排空的影响 |
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| 引用本文： | 余佩武,王代科,文亚渊,蔡志民,刘宝华. 高选择性迷走神经切断加胃窦粘膜切除术对胃泌素和胃排空的影响[J]. 中国普外基础与临床杂志, 1995, 0(2) |
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| 作者姓名： | 余佩武 王代科 文亚渊 蔡志民 刘宝华 |
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| 作者单位： | 重庆第三军医大学附属第一医院普外科，重庆第三军医大学附属第三医院普外科 |
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| 摘 要： | 作者对４２例行高选择性迷走神经切断加胃窦粘膜切除术（ＨＳＶ＋ＭＡ）的十二指肠溃疡患者术后血清胃泌素和胃排空的变化进行了为期３年的随访观察。结果显示：本组患者术后血清胃泌素水平均较术前有所降低，但无统计学差异（Ｐ＞０．０５）。术后２周和１年少数患者（１３／４２和３／２８）胃排空延迟，但术后３年胃排空均已恢复正常。由此表明，ＨＳＶ＋ＭＡ既可消除ＨＳＶ后溃疡复发的因素，又可以保留胃窦和幽门的功能，是治疗十二指肠溃疡较理想的术式。
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| 关 键 词： | 十二指肠溃疡，迷走神经切断术，胃泌素，胃排空 |
THE EFFECT OF HIGHLY SELECTIVE VAGOTOMY AND MUCOSAL ANTRECTOMY ON SERUM GASTRIN AND GASTRIC EMPTYING |
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| Yu peiwu, Wang Daike, Win Yayuan,et al.. THE EFFECT OF HIGHLY SELECTIVE VAGOTOMY AND MUCOSAL ANTRECTOMY ON SERUM GASTRIN AND GASTRIC EMPTYING[J]. Chinese Journal of Bases and Clinics In General Surgery, 1995, 0(2) |
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| Authors: | Yu peiwu Wang Daike Win Yayuan et al. |
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| Abstract: | Forty-two patients with duodenal ulcer underwent highly selective vagotomy and mucosal antrectomy (HSV MA )and were followed up for 3 yeras. Two weeks, 1 year and 3 years after operation, serum gastrin level and gastric emptying capacity were tested. The results show that the postoperative levels of serum gastrin were lower than the preoperative ones, but with no significant difference(P>0. 05). Only a few patients had delayed gastric emptying 2 weeks and 1 year after operation, butit returned to normal in 3 years. The authors conclude that HSV MA is a better operative treatmentfor duodenal ulcer since it can abolish the factors of postoperative ulcer recurence and perserve the functions of the antrum and the pylorus. |
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| Keywords: | Duodenal ulcer Vagotomy Serum gastrin Gastric emptying |
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