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十二指腸潰瘍の手術成績-特に術後愁訴についての検討-


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Title: 十二指腸潰瘍の手術成績-特に術後愁訴についての検討-
Other Titles: Clinical Results of Operation for Duodenal Ulcer
Authors: 三浦, 敏夫 / 浦田, 秀子
Authors (alternative): Miura, Toshio / Urata, Hideko
Issue Date: 31-Mar-1988
Citation: 長崎大学医療技術短期大学部紀要 = Bulletin of the School of Allied Medical Sciences, Nagasaki University. 1988, 1, p.91-101
Abstract: 十二指腸潰瘍手術患者189例の内103例(胃切除47例,選迷切兼幽切16,選近迷切40例)について術式別に術後(各群の平均追跡期間7.2,6.7,6.2年)愁訴を中心に比較検討し,以下の結果を得た. 1.就労までの期間は胃切除より迷切群(選近迷切,選迷切兼幽切)で短い. 2.術前と同量の食餌摂取に要した期間は選近迷切で有意に短い. 3.術後体重減少は選近迷切で軽微である. 4.術後下痢,ダンピング症候群の発生頻度は選近迷切で最も低率である. 5.Visick gradingによる評価ではVisick Ⅰは迷切群で多い.また女性ではⅠが少なく,若年者では多い. 6.再発は選近迷切では7.5%で他の2群(胃切2.1%,選迷切兼幽切0%)より高率である. 以上より選近迷切は十二指腸潰瘍の待期手術として選択できる術式である. / The records of 189 patients (167 men, 22 women) who had surgical treatment (gastrectomy : GR 84, selective vagotomy and anterectomy : SV & AR 29, selective proximal vagotomy : SPV 72, others 4) for duodenal ulcer between 1970 and 1984 were reviewed. Postoperatively, 103 patients were available for study : 47 GS 16 SV & AR, 40 SPV. The mean follow up was 7.2, 6.7 and 6.2 years respectively. The ulcer recurrence rate were 2.1, 0 and 7.5 per cent respectively. The incidence of diarrhea, including mild symptoms was 17.0, 12.5, 10.0per cent ; of dumping syndrome 19.1, 18.7 and 12.5 per cent respectively. Perfect results were seen more often in young age patients. Women suffered more postoperative syndromes than men. This study supports the use of proximal selective vagotomy as the operation of choice for the elective surgical treatment of duodenal ulcer.
Keywords: 十二指腸潰瘍 / 術後愁訴 / 迷走神経切離術 / 胃切除術
URI: http://hdl.handle.net/10069/18071
ISSN: 09160841
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 1

Citable URI : http://hdl.handle.net/10069/18071

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