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[主动脉肠瘘的治疗。关于2例病例报告的评论]

[The treatment of aorto-enteric fistulas. Remark apropos of 2 case reports].

作者信息

Moineau D, Jehaes C, Hourlay P, Grenade T

出版信息

Acta Chir Belg. 1985 Jul-Aug;85(4):223-5.

PMID:4050253
Abstract

Aorto-enteric fistulas: about two cases. In this paper, on the occurrence of two new cases records, we resume the current data of the publications about aorto-enteric fistulas. We emphasize the symptomatology inasmuch the diagnostic approaches of primary and secondary aorto-enteric fistulas. The different ways of the operative treatment are discussed. The conclusion is extra-anatomic bypass associated with graft excision is currently the best therapeutic choice in case of secondary fistulas. About primary fistulas, the treatment is still controversial immediately by extra-anatomic bypass or arterial graft in situ and closure of the digestive fistula.

摘要

主动脉肠瘘

两例报告。在本文中,基于两例新病例记录,我们总结了目前关于主动脉肠瘘的文献资料。我们着重阐述了原发性和继发性主动脉肠瘘的症状表现及诊断方法。文中还讨论了不同的手术治疗方式。结论是,对于继发性瘘,目前最佳的治疗选择是行解剖外旁路移植术并切除移植物。对于原发性瘘,通过解剖外旁路移植术或原位动脉移植术及关闭消化瘘进行治疗仍存在争议。

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