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[食管胃成形术后移植组织中氧代谢的极谱评估]

[Polarographic evaluation of oxygen metabolism in the transplant after esophagogastroplasty].

作者信息

Mamontov A S, Epshteĭn I M, Reshetov I V

出版信息

Grud Serdechnososudistaia Khir. 1990(5):58-61.

PMID:2393600
Abstract

Oxygen metabolism of a tube graft formed from the greater curvature of the stomach in esophagoplasty for carcinoma of the thoracic esophagus was studied by polarography. The study was conducted during the stages of treatment: in the early postoperative period and before the formation of a postponed extracavitary esophagogastric anastomosis. Oxygen tension (pO2) and the rate of oxygen consumption (ROC) by the graft tissue were studied. The pO2 for the isoperistaltic grafts was 65.3 +/- 2.31 mm Hg in the zone of the nutrient vessel and 51.68 +/- 11.6 mm Hg in the zone of the mechanical suture. A favourable postoperative period corresponded with a ROC of 0.1-0.2 units. The results of the study coincided with the clinical result in 86.3% of cases.

摘要

采用极谱法研究了在胸段食管癌食管成形术中由胃大弯形成的管状移植物的氧代谢。该研究在治疗的各个阶段进行:术后早期以及延迟腔外食管胃吻合术形成之前。研究了移植物组织的氧张力(pO2)和氧消耗率(ROC)。顺蠕动移植物在营养血管区域的pO2为65.3±2.31mmHg,在机械缝合区域为51.68±11.6mmHg。术后情况良好对应于0.1 - 0.2单位的ROC。研究结果与86.3%的临床结果相符。

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