壁细胞迷走神经切断术治疗十二指肠球部溃疡急性穿孔

Parietal-cell Vagostomy for Treatment of Acute Perforation of Duodenal Ulcer

本文报告了壁细胞述走神经切断术+穿孔修补术洽疗十二指肠球部溃疡合并急性穿孔26例。无手术并发症,术后溃疡症状消失,胃液分析基础胃酸(BAD)、最高胃酸(MAO)分泌量正常,游离酸及总酸度1～3个月内降到正常。随访3～5年,全组病例不需服用治疗溃疡病的药物,无溃疡复发,短期获得了满意效果。值得进一步研究总结。

Twenty six patients with acute perforation of duodenal ulcer accepted extended WPCV and closure of the perforation. There was no postopera tive complications and ulcer symptoms disappear ed. Gastric analysis showed that the secretion of BAO and MAO were in normal range, free acid and total acid had been decreased to the normal limit within 1～3 months, All the patients were followed up for 3～5 years. There was no recurrence and anti-ulcer medicine was unnecessary. Our conclusion is that satisfactory results within a short duration may revealed through this method, but further study is needed.