[主动脉重建术后缺血性结肠炎的预防：经壁血氧测定在肠系膜下动脉再植决策中作用的个人经验]
[Prevention of ischemic colitis following aortic reconstruction: personal experience of the role of transmural oximetry in the decision for inferior mesenteric artery reimplantation].
作者信息
Panier Suffat L, Tridico F, Rebecchi F, Bianco A, Monticone C, Lanza S, Calello G, Contessa L, Giaccone C, Panier Suffat P
机构信息
Dipartimento di Discipline Medico-Chirurgiche, Sezione di Chirurgia Generale ed Oncologica, Università degli Studi di Torino, Torino, Italy.
出版信息
Minerva Chir. 2003 Feb;58(1):71-6.
BACKGROUND
The colonic ischemic necrosis is one of the most serious complication in the surgical reconstruction of abdominal aorta aneurysm (AAA) due to surgical inappropriate binding of the inferior mesenteric artery (IMA).
METHODS
A retrospective analyzed of a group of 118 infrarenal AAA surgically treated is presented.
RESULTS
The most common cause of ischemic colitis (75% of cases) is the surgical binding of an opened IMA or its failed reimplantation.
CONCLUSIONS
In this paper according to their personal experience and the literature data, the authors outline a diagnostic behaviour to select the patients needing the reimplantation of IMA; they suggest to complete the pre operative information with an instrumental evaluation during the surgical treatment.
背景
结肠缺血性坏死是腹主动脉瘤（AAA）手术重建中最严重的并发症之一，原因是肠系膜下动脉（IMA）手术结扎不当。
方法
对一组118例接受手术治疗的肾下腹主动脉瘤进行回顾性分析。
结果
缺血性结肠炎最常见的原因（75%的病例）是开放的IMA手术结扎或再植失败。
结论
本文根据作者个人经验和文献资料，概述了一种诊断方法，以选择需要IMA再植的患者；建议在手术治疗期间通过器械评估完善术前信息。
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