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乙状结肠和直肠前切除术后吻合口狭窄(作者译)

[Postoperative anastomotic stenosis after anterior resection of the sigmoid colon and rectum (author's transl)].

作者信息

Schumann J

出版信息

Zentralbl Chir. 1978;103(19):1247-55.

PMID:362767
Abstract

149 patients underwent anterior resection of the sigmoid colon and the rectum with decompression-transverse colostomy. In 10 cases stenosis of the anastomosis was observed. The development of the stenosis is believed to have been caused by a small leak in the anastomosis, leading to secondary bacterial infection and hence scar formation. It is suggested that a one layer through and through silk suture promotes the eventual stenosis.

摘要

149例患者接受了乙状结肠和直肠前切除术并进行减压横结肠造口术。其中10例观察到吻合口狭窄。据信,狭窄的发生是由于吻合口存在小渗漏,导致继发性细菌感染,进而形成瘢痕。有人认为,单层贯穿缝合丝线会促使最终形成狭窄。

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