保留幽门、胃窦浆肌辦式胃大部切除术20例临床体会

Experience of Pylorus and Antroseromuscular Flap Preserving Subtotal Gastrectomy in twenty cases

应用保留幽门、胃窦浆肌瓣式胃大部切除术(PAFPG)治疗胃、十二指肠溃疡及其它胃良性病变20例。结果:近期效果满意。17例术后恢复顺利,术后三个月复诊.术前临床症状消失,饮食恢复,体重增加;2例近期吻合口出血,其中一例经胃镜证实有吻合口浅表溃疡;一例术后二月感剑突下无规律隐痛,两次钡餐检查提示吻合口溃疡。作者认为PAFPG术式不失为治疗消化性溃疡的一种新方法。但对溃疡的复发、胃癌的遗漏及PAFPG术式的适应症应进一步探讨。

To prevent alkaline reflux gastritis after subtotal gastrectomy with billroth' s gastroenteiostomy to reconsruict PAFPG was performed in the fist department of surgery. Twenty cases were operated with PAFPG to treat gastroduodenum ulcer and other nonmatignant gastritis, the early result is good.