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直肠癌手术前后左半结肠的运动模式:对其他疾病的可能影响

Motor pattern of the left colon before and after surgery for rectal cancer: possible implications in other disorders.

作者信息

Catchpole B N

机构信息

Department of Surgery, St Mark's Hospital, London.

出版信息

Gut. 1988 May;29(5):624-30. doi: 10.1136/gut.29.5.624.

Abstract

The motility of the descending colon was studied in nine patients before and after resection of the rectum for cancer. This operation parasympathectomises and generally also sympathectomises the remaining left colon. Motor activity was significantly reduced by sleep before and after surgery. There was also a reduction in awake motility after surgery which is attributed to extrinsic denervation. The reduced motility may explain the increased frequency of motions passed after surgery.

摘要

对9例因癌症行直肠切除术前、后的降结肠运动情况进行了研究。该手术会使剩余的左半结肠发生副交感神经切除,通常也会发生交感神经切除。手术前后睡眠均会显著降低运动活性。术后清醒时的运动活性也降低,这归因于外在去神经支配。运动活性降低可能解释了术后排便次数增加的原因。

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本文引用的文献

1
Diverticulitis of the colon. Recurrence after apparently adequate segmental resection.
Am J Surg. 1962 Jan;103:51-4. doi: 10.1016/0002-9610(62)90012-0.
5
Colonic motility in constipation or diarrhoea.
Scand J Gastroenterol. 1972;7(1):93-6. doi: 10.3109/00365527209180743.
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Diurnal changes in myoelectric spiking activity of the human colon.人类结肠肌电尖峰活动的昼夜变化。
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