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[临床研究结果对实际结肠和直肠手术的解读]

[Interpretation of results of clinical studies for practical colon and rectum surgery].

作者信息

Thiede A, Jostarndt L, Hamelmann H

出版信息

Zentralbl Chir. 1985;110(9):539-57.

PMID:3892976
Abstract

Systemic antibiotic prophylaxis in surgery of the colon and rectum is principally useful. It should be administered only on the day of surgery. Stapling makes it possible to enlarge the indication for deeper rectal resection. In cases of deep rectal anastomoses in men bladder dysfunction has to be expected in a considerable percentage. Anal continence does not depend on the anastomotic technique but on the anastomotic level in relation to its distance from the ano-cutaneous line and in consequence on the loss of reservoir capacity.

摘要

结肠直肠手术中全身性抗生素预防主要是有用的。它应仅在手术当天给药。吻合器使扩大直肠深部切除术的适应证成为可能。在男性直肠深部吻合的情况下,相当大比例的患者会出现膀胱功能障碍。肛门节制并不取决于吻合技术,而是取决于吻合部位与肛门皮肤线的距离,进而取决于贮尿能力的丧失。

相似文献

1
[Interpretation of results of clinical studies for practical colon and rectum surgery].[临床研究结果对实际结肠和直肠手术的解读]
Zentralbl Chir. 1985;110(9):539-57.
2
[Significance of the suture technic and anastomosis sites for continence following deep rectum resection].[直肠深部切除术后缝合技术及吻合部位对控便功能的意义]
Zentralbl Chir. 1985;110(11):664-70.
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Zentralbl Chir. 1983;108(23):1502-14.
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Chirurg. 1986 Apr;57(4):230-5.
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Re-resection of the short cicatricial stenosis of colorectal anastomoses with EEA stapler.使用端端吻合器对大肠吻合口短瘢痕性狭窄进行再次切除。
Acta Chir Hung. 1994;34(3-4):349-54.
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[Perioperative antibiotic prevention in colon and rectum surgery. A randomized study on the value of single dose prevention].[结肠和直肠手术围手术期抗生素预防。单剂量预防价值的随机研究]
Zentralbl Chir. 1985;110(9):532-8.
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[Dehiscence of anastomoses following colorectal surgery. Apropos of personnal statistics].[结直肠手术后吻合口裂开。基于个人统计数据]
Chirurgie. 1974;100(3):243-54.
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[Systemic mezlocillin prevention in elective colon surgery].[选择性结肠手术中系统性美洛西林预防]
Med Welt. 1983 Sep 2;34(35):934-40.
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[Anorectal continence following manual and mechanical anastomosis suture. Results of a controlled study of rectal surgery].[手工与机械吻合缝合后的肛门直肠控便能力。直肠手术对照研究结果]
Chirurg. 1984 Jun;55(6):385-90.
10
[Use of surgical staplers in gastrointestinal surgery].
Zentralbl Chir. 1988;113(18):1196-203.