摘要
目的探讨扩大壁细胞迷走神经切断术（ＥＰＣＶ）的远期临床效果。方法自１９７９年始应用ＥＰＣＶ治疗十二指肠溃疡并发穿孔、出血和狭窄１５０例，其中穿孔１０３例，出血１２例，狭窄３５例。结果全组１３１例获得随访，总的溃疡复发率为２．３％，复发狭窄率为２．９％，再出血率为０。ＶｉｓｉｃｋⅠ级为８３．２％，Ⅱ级为１０．６％，Ⅲ级为３．１％，Ⅳ级为３．１％；Ⅰ级和Ⅱ级共占９３．８％。结论作者认为ＥＰＣＶ术后远期患者无论是消化吸收功能和营养状态，还是恢复劳动能力和生活质量都较高。
Objective To study the long term effect of extended parietal cell vagotomy in the treatment of perforation, hemorrhage and stenosis due to duodenal ulcer. Methods Since 1979, we have treated 150 patients with complication due to duodenal ulcer by extended parietal cell vagotomy. 103 of the 150 patients with acute perforation, 12 with hemorrhage and 35 with stenosis. Results Postoperative follow up 11.8 years, ulcer recurrence was 2 3%,restenosis was 2 9%,and no recurrent hemorrhage. Visick classification,83 2% belong to grade Ⅰ,10 6% grade Ⅱ,3 1% grade Ⅲ,and 3 1% grade Ⅳ,93 8% grade Ⅰand Ⅱ. Conclusions The authors believe that extended parital cell vagotomy should be the treatment of choice for acute perforation,hemorrhage or stenosis duodenal ulcer.
