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放射治疗后小肠损伤的外科治疗

Surgical management of small bowel injury following radiation therapy.

作者信息

Wen K R, Wu C C, Liu T J, Jan J S, Chu H W

机构信息

Department of Surgery, Taichung Veteran General Hospital, Taiwan, Republic of China.

出版信息

Gaoxiong Yi Xue Ke Xue Za Zhi. 1990 Jun;6(6):309-14.

PMID:2374183
Abstract

Radiation enteritis is a rare complication of abdominopelvic radiotherapy at the present time. Chronic radiation enteritis with complications, e.g. stricture, perforation and fistula formation, causes significant morbidity and mortality. We present our experience with 4 cases of small bowel radiation injury manifested by intestinal obstruction or perforation. Wide resection of the lesion bowel with non-irradiated bowel for anastomosis will resolve the poor healing capacity of the irradiated bowel and obtain a satisfying results.

摘要

目前,放射性肠炎是腹部盆腔放疗罕见的并发症。伴有诸如狭窄、穿孔及瘘管形成等并发症的慢性放射性肠炎,会导致显著的发病率和死亡率。我们介绍了4例表现为肠梗阻或穿孔的小肠放射性损伤的治疗经验。广泛切除病变肠段并与未受照射的肠段进行吻合,可解决受照射肠段愈合能力差的问题,并取得满意效果。

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