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末端腹部结肠造口术时幽门括约肌的自体移植。犬的实验研究。

Autotransplantation of the pylorus sphincter at the terminal abdominal colostomy. Experimental study in dogs.

作者信息

Centeno Neto A A, Veyrac M, Briand D, Spiliotis J, Saint-Aubert B, Joyeux H

机构信息

Laboratoire de Nutrition et Cancerologie Experimentale, Institut du Cancer, Montpellier, France.

出版信息

Dis Colon Rectum. 1991 Oct;34(10):874-9. doi: 10.1007/BF02049700.

DOI:10.1007/BF02049700
PMID:1914720
Abstract

A method for constructing a continent colostomy has been tried in dogs. The pylorus sphincter with blood supply by the left gastroepiploic vessels was transposed around or anastomosed to the terminal abdominal colostomy in five dogs. One dog had a colostomy without pylorus transplantation. Evaluation was by clinical (consistency and weight of fecal material and number of defecations per day), radiologic, and manometry studies. There was no difference in the clinical data. In all the dogs, the radiologic study demonstrated emptying of the contrast medium to the peristomal skin. By manometry one high-pressure zone was demonstrated, and, in all dogs with a transposed or anastomosed pyloric segment, the average resting pressure was superior to that of the control dog. However, the transposed pylorus sphincter alone was not sufficient to control continence.

摘要

已在犬类身上尝试了一种构建可控结肠造口术的方法。在五只犬中,将由胃网膜左血管供血的幽门括约肌移位至终末腹部结肠造口周围或与之吻合。一只犬进行了未移植幽门的结肠造口术。通过临床(粪便物质的稠度和重量以及每日排便次数)、放射学和测压研究进行评估。临床数据没有差异。在所有犬中,放射学研究显示造影剂排空至造口周围皮肤。通过测压显示有一个高压区,并且在所有幽门段移位或吻合的犬中,平均静息压力高于对照犬。然而,单独移位的幽门括约肌不足以控制节制。

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