Bryski Mitchell G, Frenzel Sulyok Lydia G, Kaplan Lewis, Singhal Sunil, Keating Jane J
University of Pennsylvania, Department of Surgery, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
University of Pennsylvania, Department of Surgery, 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Am J Surg. 2020 Aug;220(2):309-315. doi: 10.1016/j.amjsurg.2020.01.042. Epub 2020 Jan 25.
Acute mesenteric ischemia (AMI) is a deadly and common surgical emergency. While several imaging modalities aid in the diagnosis of AMI preoperatively, there are limited intraoperative tools for surgeon decision making regarding bowel viability. Here we offer a review of the utility and limitations of the many extensively studied techniques. We classify each of these modalities into three hallmarks of healthy bowel: oxygenation, myoelectric activity and perfusion. Finally, we offer a brief discussion of emerging and promising techniques to assist surgeons in intraoperative decision making for patients with mesenteric ischemia.
急性肠系膜缺血（AMI）是一种致命且常见的外科急症。虽然有几种影像学检查方法有助于术前诊断AMI，但术中用于外科医生判断肠管活力的工具有限。在此，我们对众多经过广泛研究的技术的效用和局限性进行综述。我们将这些检查方法中的每一种按照健康肠管的三个特征进行分类：氧合、肌电活动和灌注。最后，我们简要讨论一些新兴且有前景的技术，以协助外科医生对肠系膜缺血患者进行术中决策。
