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胃溃疡病人经高选择性迷走神经切除(HSV)后胃酸分泌明显减少.本文进一步观察胃溃疡病人手术前后胃胆酸和溶血卵磷脂浓度的变化.作者选择了5组人群:(1)无胃溃疡病史的正常志愿者9名作对照组,(2)活动性良性胃溃疡(GU)手术前病人11例;(3)HSV 13例;(4)Billroth I式胃部分切除(BI PG)10例;(5)迷走神经干切断和幽门成形术(TV+P)3例.上述各组的年龄、性别的组成具有良好可比性.病人的溃疡在小弯或其附近.溃疡均经组织学证实为良性.手术病例随访时间均在1年以上.
Gastric acid secretion was significantly decreased in patients with gastric ulcer after high-selective vagotomy (HSV) .This article further observed changes in the concentration of gastric acid and lysolecithin before and after operation in patients with gastric ulcer.We selected five groups: (1) no gastric ulcer Nine volunteers with normal history were used as control group. (2) 11 cases of preoperative patients with active benign gastric ulcer (GU); (3) 13 cases of HSV; (4) 10 cases of Billroth I partial partial gastrectomy (5) 3 cases of vagotomy and pyloroplasty (TV + P) .The age and sex composition of the above groups were well comparable.The ulcer of the patient was in or around the lesser curvature.The ulcers were histologically confirmed to be benign Surgical cases were followed up for more than 1 year.