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The long term follow-up of lesser gastric curve and fundus seromyotomy for the treatment of duodenal ulcer and its complications

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
Issue:
1
DOI:
10.3760/cma.j.issn.1671-0274.2000.01.006
Key Word:
近端胃迷走神经切断术;十二指肠溃疡

Abstract: 目的调查胃小弯和胃底部浆肌层切开术(LGCFS)治疗十二指肠溃疡及其并发症的远期疗效.方法采用信访、电话访问、门诊复查等方式对1983~1989年间施行LGCFS的55例十二指肠溃疡患者进行随访,疗效按Visick标准分级.结果获得随访47例,失访8例.Visick分级:(1)32例无并发症的十二指肠溃疡,Ⅰ级25例(78.1%),Ⅱ级2例(6.3%),Ⅲ级3例(9.4%),Ⅳ级2例(6.3%);(2)15例有并发症的十二指肠溃疡,Ⅰ级5例(33.3%),Ⅱ级2例(13.3%),Ⅲ级2例(13.3%),Ⅳ级6例(40.0%);(3)全部47例患者,Ⅰ级30例(63.8%),Ⅱ级4例(8.5%),Ⅲ级5例(10.6%),Ⅳ级8例(17.0%).结论 LGCFS操作简单,并发症少.对于无并发症的十二指肠溃疡,其远期疗效优良.但对于有并发症者,疗效较差;尤其是对于并发幽门梗阻者,LGCFS 加幽门扩张术后梗阻复发率极高,应避免选用.

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