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[溃疡病不同切除术式后胃残端的形态功能特征]

[Morphofunctional features of the gastric stump after different kinds of resection for ulcer disease].

作者信息

Eremenko P V, Koltovich A P

出版信息

Vestn Khir Im I I Grek. 2003;162(4):17-21.

Abstract

Morphofunctional alterations in the stomach and its stump after resection of 2/3 of the stomach in modifications of Billroth-1, Hofmeister-Finsterer and Roux operations were analyzed in 127 patients with ulcer disease. Chronic experiments were carried out in 5 mongrel dogs. A comparative analysis has revealed functional and organic advantages of gastroenteroanastomoses after Roux and Billroth-I. The Roux resection is an effective operative intervention in patients with ulcer disease of the stomach, for chronic duodenal obstruction, and in patients with post- gastroresectional pathology. It has an anti-dumping effect, provides portional emptying of the gastric stump, improves the life quality of the patients.

摘要

对127例溃疡病患者在进行Billroth-1、Hofmeister-Finsterer和Roux术式改良的胃2/3切除术后胃及其残端的形态功能改变进行了分析。对5只杂种犬进行了慢性实验。对比分析揭示了Roux术和Billroth-I术后胃肠吻合术在功能和器官方面的优势。Roux切除术是治疗胃溃疡病、慢性十二指肠梗阻及胃切除术后病理状况患者的有效手术干预措施。它具有抗倾倒作用,能使胃残端排空均衡,提高患者生活质量。

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