作者對(duì)42例行高選擇性迷走神經(jīng)切斷加胃竇粘膜切除術(shù)(HSV+MA)的十二指腸潰瘍患者術(shù)后血清胃泌素和胃排空的變化進(jìn)行了為期3年的隨訪觀察。結(jié)果顯示：本組患者術(shù)后血清胃泌素水平均較術(shù)前有所降低，但無統(tǒng)計(jì)學(xué)差異(Ｐ＞0.05)。術(shù)后2周和1年少數(shù)患者(13/42和3/28)胃排空延遲，但術(shù)后3年胃排空均已恢復(fù)正常。由此表明，HSV+MA既可消除HSV后潰瘍復(fù)發(fā)的因素，又可以保留胃竇和幽門的功能，是治療十二指腸潰瘍較理想的術(shù)式。
引用本文： 余佩武 ,王代科,文亞淵,蔡志民,劉寶華. 高選擇性迷走神經(jīng)切斷加胃竇粘膜切除術(shù)對(duì)胃泌素和胃排空的影響. 中國(guó)普外基礎(chǔ)與臨床雜志, 1995, 2(2): 76-78. doi: 復(fù)制
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- 1. 王代科.高度選擇性迷走神經(jīng)切斷術(shù)的現(xiàn)狀和進(jìn)展.腹部外科，1988；1：81.
- 2. 余佩武，王代科，楊順興等.高選迷切加胃竇粘膜切除術(shù)治療十二指腸潰瘍.實(shí)用外科雜志，1990；10：828.
- 3. Goligher J, Hill G, Kenny T, et al. Proximal gastric vagotomy without drainage for duodenal ulcer: results ofter 5-8 years. Br J Surg, 1978;65:145.
- 4. Herrington JL, Sawyer JL, Scott HW, et al. A twenty-five year experience with vagotomy-antrectomy. Arch Surg, 1973;10:469.
- 5. Friensen SR, Tomita T. Further experience with psuedo-Zollinger-Ellixon syndrome; Its place in the mannagment of neuroendocrine duodenal ulceration. World J Surg, 1973;10:469.
- 6. Busman DC, Brombacher PJ, Munting JDK, et al. Highly selective vagotomy and serum gastrin levels. S G O, 1987;165:397.
- 7. 李為蘇，王代科，鄢俊等.高選迷切加胃竇粘膜切除術(shù)后胃竇運(yùn)動(dòng)功能的實(shí)驗(yàn)研究.中華實(shí)驗(yàn)外科雜志，1994；16：160.