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选用壁细胞迷走神经切断术(简称PCV)治疗慢性十二指肠溃疡或幽门、幽门前区溃疡已十多年,术后病残率低,手术安全。但复发率较其它经典手术高,在一定程度上限制了其应用。本文分析连续十年的PCV术后复发病例,探讨复发部位、原因及处理方法。自1971～1980年,经纤维胃镜或上消化道造影证实之慢性幽门前区(胃镜观测距幽门2 cm以内者)、幽门或十二指肠溃疡患者,共405例做了典型的PCV。术后6周,1,5,10年随诊,包括自觉症状,体检,胃酸测定(BAO及PAO),仅于纤维胃镜证实有溃疡灶时,才定为复发。复发溃疡位于幽门前区、幽门或十二指肠球部,术后血清胃泌素值正常、酸分泌显示迷
Selection of parietal cell vagotomy (PCV) for the treatment of chronic duodenal ulcer or pylorus, pyloric ulcers have been more than 10 years, the postoperative morbidity is low, surgical safety. However, the recurrence rate higher than other classic surgery, to a certain extent, limited its application. This article analyzes the recurrence of PCV after a decade of consecutive cases, to explore the recurrence site, causes and treatment methods. From 1971 to 1980, a total of 405 cases of PCV were diagnosed in patients with chronic pyloric region (gastroscopy within 2 cm from the pylorus), pylorus or duodenal ulcer confirmed by fiber endoscopy or upper gastrointestinal angiography. After 6 weeks, 1, 5, 10 years of follow-up, including symptoms, physical examination, gastric acid test (BAO and PAO), only confirmed by gastroscopy ulcer lesions, was identified as recurrence. Recurrent ulcer located in pyloric area, pylorus or duodenal bulb, postoperative serum gastrin normal, acid secretion showed fans