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小肠和结肠放射性损伤的临床与处理(作者译)

[Clinics and management of radiation injuries of small bowel and colon(author's transl)].

作者信息

Lenner V, Hofmann G, Daniels V

出版信息

Leber Magen Darm. 1977 Apr;7(2):92-6.

PMID:300830
Abstract

In the Surgical and Gynecological Departments of the University of Mainz, Medical School, 50 patients were operated between 1964-1976 for mechanical and paralytical ileus and intestinal bleeding caused by radiation injury of the bowel. Diagnosis depends on the history of radiation therapy. At operation we have seen a recurrence of gynecological and other malignant growths only two times. Intestinal resection with anastomosis is the preferred method for the management of such radiation injuries. The postoperative dehiscence of the intestine was noticed only five times. In order to prevent higher mortality rates, operation should be carried out as soon as possible.

摘要

在美因茨大学医学院外科和妇科,1964年至1976年间,有50例患者因肠道机械性和麻痹性肠梗阻以及肠道放射性损伤导致的出血接受了手术。诊断取决于放射治疗史。手术中,我们仅见过两次妇科及其他恶性肿瘤复发。肠切除吻合术是治疗此类放射性损伤的首选方法。术后肠裂开仅发现过5次。为防止更高的死亡率,应尽快进行手术。

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