首页 | 本学科首页   官方微博 | 高级检索  
     

门脉高压症贲门周围血管离断术不必附加幽门成形术
引用本文:武书胜,管强,王殿臣. 门脉高压症贲门周围血管离断术不必附加幽门成形术[J]. 临床医药实践, 2000, 9(2): 105-106
作者姓名:武书胜  管强  王殿臣
作者单位:山西省人民医院,山西,太原,030012
摘    要:目的:探讨肝硬化门脉高压症病人行脾切除贲门周围血管离断术附加幽门成形术的必要性并观察保留迷走神经对胃排空功能恢复的影响。方法:观察肝硬化门脉高压症病人行脾切除贲门周围血管离断术双侧迷走神经主干切断组与保留迷走神经或附加幽门成形术组胃排空功能恢复情况。结果:双侧迷走神经主干切断组胃排空功能恢复平均时间5.2d,附加幽门成形术或保留迷走神经组分别为4.2d和4.1d。前者发生胃潴留2/36(6%)例,但均于短时间内恢复;后者未见胃潴留发生。结论:认为贲门周围血管离断术附加幽门成形术非为必需,术中保留迷走神经确属有益

关 键 词:门脉高压症  贲门周围血管离断术  胃潴留  迷走神经
修稿时间:1999-06-25

To observe the gastric emptying of patient with portal hypertesion after D.P.D
WU Shu-sheng,GUAN Qiang,WANG Dian-chen. To observe the gastric emptying of patient with portal hypertesion after D.P.D[J]. Proceeding of Clinical Medicine, 2000, 9(2): 105-106
Authors:WU Shu-sheng  GUAN Qiang  WANG Dian-chen
Abstract:Objective:To explore the necessity of splenectom y and D.P.D procedures with pyloroplasty for patients with L .C and portal hypertesion,and to observe the influence of the function of gastric emptying with vagus were kept. Methods:To observe the resume of gastric emptying of different groups of patients with L.C and portal hypertesion,one group were underwent splenectomy and D.P.D procedures with both vagotomy,and the other one’s vagus were kept with or withoutpyloroplasty.Result:The average time of the resume of gastric em ptying for the group of both vagotomy is5 .2 days,and4 .2 days for the former with pyloroplasty,4 .1days for the patients of vagus kept.2 in3 6cases suffered from stom ach tarry in the former way are resum ed in a short time,and none occurs with stomach tarry in the later. Conclusion:D.P.D with pyloroplasty isn’t necessary,but D.P.D with vagus kept do benefit.
Keywords:portal  hypertesion pyloroplasty  stomach tarry  vagu
本文献已被 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号