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[实验性切除小肠中段75%以及延缓肠道被动排空的外科手术后小肠的形态学变化]

[Morphologic changes in the small intestine following experimental resection of 75% of the midsection of the small intestine and surgical procedures delaying intestinal passive].

作者信息

Kinzel P, Wohlgemuth B, Schwokowski C F

机构信息

Chirurgischen Klinik, Bereichs Medizin der Karl-Marx-Universität Leipzig.

出版信息

Dtsch Z Verdau Stoffwechselkr. 1988;48(2):94-103.

PMID:3168901
Abstract

The present study was performed in male Wistar rats. They underwent a 75% removal of the middle part of the small intestine and various procedures to delay the passage time in order to manage short bowel syndrome. Comparisons were made between the following groups: animals with subtotal resection of the small intestine and counterpositioning of a segment of the small intestine, myotomy, isoperistaltic segment, and animals with removal of the small intestine without delayed passage time, and a group of healthy non-operated controls. One year after surgery the following examinations were carried out: gross measurement of length and width of the intestine, eye microscopy, calculations of the intestinal surface, and morphometric investigations in histologic specimens of the intestinal mucosa. The most extensive increase of the residual lumen was observed in animals with antiperistaltic segment interposition. The inhibition of the passage due to the antiperistaltic segment has remained effective during the entire test period despite extreme loading and despite the morphological changes described in the article.

摘要

本研究在雄性Wistar大鼠中进行。它们接受了75%的小肠中部切除以及各种延缓通过时间的操作,以处理短肠综合征。对以下几组进行了比较:小肠次全切除并将一段小肠进行对置的动物、肌切开术、等蠕动段,以及小肠切除但未延缓通过时间的动物,还有一组健康的未手术对照组。术后一年进行了以下检查:对肠道长度和宽度进行大体测量、眼显微镜检查、计算肠表面积,以及对肠黏膜组织学标本进行形态计量学研究。在插入逆蠕动段的动物中观察到残余管腔的增加最为显著。尽管在整个测试期间有极端负荷,且尽管文章中描述了形态学变化,但由于逆蠕动段导致的通过抑制在整个测试期间仍然有效。

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