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[生长中的生物体中腹膜化和非腹膜化腹膜缺损的愈合]

[Healing of peritonized and nonperitonized peritoneal defects in growing organisms].

作者信息

Burov I S, Stroganov V A

出版信息

Vestn Khir Im I I Grek. 1978 Jul;121(7):92-7.

PMID:358536
Abstract

Clinical data (110 observations over 106 cases) and experiments on animals proved the inexpediency of the peritonization of non-pertonized surfaces in children both in "pure" peritoneum and under the condition of a pronounced inflammation. Renouncement of peritonization of peritoneal defects has favoured the decrease of the incidence rate of the recurrence of ileum and the improvement of late results of the treatment. The authors believed that the peritonization is needed only when defects of the intestinal wall reach the submucous level and as this takes place a pronounced bleeding, which cannot be controlled without suturing, is noted. Intestinal perforation localized in the non-peritonized sites was never observed, even when the muscular layer of the intestinal wall was damaged.

摘要

临床资料(106例患者的110次观察结果)及动物实验证明,在儿童中,无论是“单纯”腹膜还是在炎症明显的情况下,对未腹膜化的表面进行腹膜化都是不合适的。放弃对腹膜缺损进行腹膜化有利于降低回肠复发率并改善治疗的远期效果。作者认为,仅当肠壁缺损达到黏膜下层且出现明显出血,不缝合无法控制时,才需要进行腹膜化。即使肠壁肌层受损,也从未观察到发生在未腹膜化部位的肠穿孔。

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