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[主动脉手术中结肠缺血的预防]

[Prevention of colonic ischemia during surgery of the aorta].

作者信息

Piccinini E, Turicchia G U, Altini R, Ribichini P, Stancanelli V

机构信息

Dpto. de Cirugía, Hospital General, Ravena, Italia.

出版信息

Angiologia. 1990 May-Jun;42(3):112-4.

PMID:2393161
Abstract

The authors report the results of 53 revascularizations of the Inferior Mesenteric Artery, performed during 315 aortic reconstructive procedures, in 19 (35.85%) cases out of a group of 102 aortic aneurysms and 34 (74.15%) cases in a group of 213 aorto-iliac obstructive lesions. The "Carrel patch" technique was always used for the aneurysms of the aorta abdominal cases, whilst this technique was always adopted for only 21 obstructive patients; in the remaining 13 a personal technique was used and is here described. The long term results show a good patency rate (63.7%) for the reimplanted artery, planted artery, but above all no case of colonic ischemia in this group to compare with the 3 cases occurred in the no reimplanted group.

摘要

作者报告了在315例主动脉重建手术中进行的53次肠系膜下动脉血运重建的结果,其中102例腹主动脉瘤患者中有19例(35.85%),213例主-髂动脉阻塞性病变患者中有34例(74.15%)。对于腹主动脉瘤病例,总是采用“卡雷尔补片”技术,而对于仅21例阻塞性患者也总是采用该技术;在其余13例中使用了一种个人技术,在此进行描述。长期结果显示,再植动脉的通畅率良好(63.7%),但最重要的是,该组中没有发生结肠缺血的病例,而未进行再植的组中有3例发生结肠缺血。

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1
[Prevention of colonic ischemia during surgery of the aorta].[主动脉手术中结肠缺血的预防]
Angiologia. 1990 May-Jun;42(3):112-4.
2
[Surgery of abdominal aorta with horseshoe kidney].马蹄肾腹主动脉手术
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3
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J Chir (Paris). 1989 Jun-Jul;126(6-7):413-8.
8
[Prevention of colonic ischemia following abdominal aortic aneurysmectomy by measurement of inferior mesenteric artery stump pressure].
Nihon Geka Gakkai Zasshi. 1986 Aug;87(8):900-6.
9
[Reimplantation of the inferior mesenteric artery--a sensible measure in aneurysm surgery?].[肠系膜下动脉再植术——动脉瘤手术中的明智之举?]
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[Role of colonoscopy in the diagnosis of ischemic colitis as a complication of surgery of aneurysms of the abdominal aorta].[结肠镜检查在诊断作为腹主动脉瘤手术并发症的缺血性结肠炎中的作用]
Minerva Chir. 1990 Jun 30;45(12):875-80.