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[确定双腔结肠造口术和边缘结肠造口术的闭合时间]

[Determining the time of closure of double-trunk and marginal colostomies].

作者信息

Poval'kis D K, Maksimova L V

出版信息

Vestn Khir Im I I Grek. 1990 Apr;144(4):24-7.

PMID:2173222
Abstract

An analysis of incidence of postoperative complications of restorative operations in 215 patients with double-barreled and marginal colostomies++ has shown that terms of performing the operations do not influence the character of the postoperative period. A cytological investigation has shown that inflammatory alterations make their appearance at early terms (up to 2 months) of the colostomies++ existence. Closure of the colostomies++ should be performed after elimination of causes of their appearance, when there are no pronounced inflammatory alterations of the intestinal wall of the colostomy and when the patient's condition is good. At early terms resection of the intestinal wall with the colostomy and the end-to-end anastomosis should be performed.

摘要

对215例双腔结肠造口术和边缘结肠造口术患者的修复手术术后并发症发生率进行分析表明,手术实施时间并不影响术后病程特点。细胞学研究表明,炎症改变在结肠造口术存在的早期阶段(长达2个月)出现。应在消除结肠造口术出现的原因后、结肠造口肠壁无明显炎症改变且患者状况良好时进行结肠造口关闭术。在早期阶段,应进行带结肠造口的肠壁切除及端端吻合术。

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