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[关于肌切开术在憩室病治疗中的作用(作者译)]

[On the role of myotomy in the treatment of diverticular disease (author's transl)].

作者信息

Raguse T

出版信息

Langenbecks Arch Chir. 1979;348(1):51-60. doi: 10.1007/BF01240051.

DOI:10.1007/BF01240051
PMID:431228
Abstract

UNLABELLED

Spontaneous motor action of fresly prepared circular and longitudinal muscle strips were examined in two separated trials. Bowel musculature of diverticular patients were compared with those of normal subjects. Finally all explantations were examined histologically.

RESULTS

  1. There was no difference in electrical activity and tension development regarding circular muscle strips of patients suffering from D.D. and those of normal subjects. 2. The longitudinal muscles show however significant differences in contrast to normal subjects; to sum up D.D. presents us a spastic and contracted taenia. 3. The histological investigations did not explain the different electromechanical results. There were however remarcable ribbons only in the longitudinal muscle of D.D.--known from myoma uteri. The results of the electrophysiological analysis have importance for our surgical concept in the treatment of peridiverticulitis. They justify the horizontal myotomy in the left, functionally disturbed colon descendens additional to the resection as an preventive procedure.
摘要

未标记

在两项单独的试验中检查了新鲜制备的环形和纵行肌条的自发运动动作。将憩室病患者的肠道肌肉组织与正常受试者的进行比较。最后对所有切除组织进行组织学检查。

结果

  1. 患有憩室病(D.D.)的患者的环形肌条与正常受试者的环形肌条在电活动和张力发展方面没有差异。2. 然而,纵行肌与正常受试者相比有显著差异;总之,憩室病向我们呈现出痉挛和收缩的带。3. 组织学研究无法解释不同的机电结果。然而,仅在憩室病患者的纵行肌中有明显的带状物——这在子宫肌瘤中是已知的。电生理分析结果对我们治疗憩室周围炎的手术概念具有重要意义。它们证明了在切除之外,对功能受干扰的左降结肠进行水平肌切开术作为一种预防措施是合理的。

相似文献

1
[On the role of myotomy in the treatment of diverticular disease (author's transl)].[关于肌切开术在憩室病治疗中的作用(作者译)]
Langenbecks Arch Chir. 1979;348(1):51-60. doi: 10.1007/BF01240051.
2
[Pathogenesis of colon diverticular disease (author's transl)].结肠憩室病的发病机制(作者译)
Leber Magen Darm. 1981 Aug;11(4):147-58.
3
[Diverticular disease; investigation on therapeutical tactics (author's transl)].[憩室病;治疗策略的研究(作者译)]
Zentralbl Chir. 1981;106(21):1393-408.
4
Anastomotic myotomy: an adjunct to resection for diverticular disease.吻合肌切开术:憩室病切除术的辅助方法
Dis Colon Rectum. 1976 May-Jun;19(4):310-13. doi: 10.1007/BF02590926.
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Colonic smooth muscle responses in patients with diverticular disease of the colon: effect of the NK2 receptor antagonist SR48968.结肠憩室病患者的结肠平滑肌反应:NK2受体拮抗剂SR48968的作用
Dig Liver Dis. 2004 May;36(5):348-54. doi: 10.1016/j.dld.2004.01.014.
6
Observations on the muscle abnormality of the human sigmoid colon in diverticular disease.关于憩室病患者乙状结肠肌肉异常的观察
Br J Clin Pharmacol. 1980 Mar;9(3):229-32. doi: 10.1111/j.1365-2125.1980.tb04831.x.
7
[Myotomy: a surgical treatment for diverticulitis (author's transl)].肌切开术:憩室炎的一种外科治疗方法(作者译)
Langenbecks Arch Chir. 1976 Nov 15;342:445-8. doi: 10.1007/BF01267407.
8
[Changes on the colon after myotomy and after resection for diverticulitis].[肌切开术及憩室炎切除术后结肠的变化]
Cas Lek Cesk. 1976 Sep 17;115(37):1149-53.
9
[Myotomy in the treatment of colonic diverticulosis and diverticulitis].[肌切开术治疗结肠憩室病和憩室炎]
Helv Chir Acta. 1972 Dec;39(5):809-14.
10
A study of abnormal muscular patterns in diverticular disease of the colon using the polysiloxane foam enema.一项使用聚硅氧烷泡沫灌肠剂对结肠憩室病异常肌肉模式的研究。
Gut. 1970 Feb;11(2):111-7. doi: 10.1136/gut.11.2.111.

本文引用的文献

1
Oxygen consumption by the isolated smooth muscle of guinea-pig taenia coli.豚鼠结肠带孤立平滑肌的氧消耗
J Physiol. 1967 Nov;193(1):213-24. doi: 10.1113/jphysiol.1967.sp008352.
2
PATHOGENESIS OF MULTIPLE DIVERTICULA OF THE SOGMOID COLON IN DIVERTICULAR DISEASE.乙状结肠多发憩室病中乙状结肠多发憩室的发病机制
Acta Chir Scand Suppl. 1964;63:SUPPL 342:1-68.
3
THE INTRALUMINAL PRESSURE PATTERNS IN DIVERTICULOSIS OF THE COLON. I. RESTING PATTERNS OF PRESSURE. II. THE EFFECT OF MORPHINE.结肠憩室病的腔内压力模式。I. 静息压力模式。II. 吗啡的作用。
Gut. 1964 Jun;5(3):201-13. doi: 10.1136/gut.5.3.201.
4
Colonic diverticular disease: changing operative management.结肠憩室病:手术治疗的变化
Ann Surg. 1971 Jun;173(6):979-82. doi: 10.1097/00000658-197106010-00016.
5
Recurrence of high intracolonic pressure following sigmoid myotomy.乙状结肠肌切开术后结肠内高压复发。
Br J Surg. 1971 Apr;58(4):304.
6
[Electrophysiology studies on normal spontaneous activity of the isolated guinea pig taenia coli].[豚鼠离体结肠带正常自发活动的电生理学研究]
Pflugers Arch. 1970;314(4):312-28. doi: 10.1007/BF00592289.
7
Rectal and colonic studies after resection of the sigmoid for diverticular disease.乙状结肠切除术后针对憩室病的直肠和结肠研究。
Gut. 1970 Feb;11(2):121-5. doi: 10.1136/gut.11.2.121.
8
Pressure activity of the colon and rectum in diverticular disease before and after sigmoid myotomy.乙状结肠肌切开术前后憩室病患者结肠和直肠的压力活动
Br J Surg. 1969 Dec;56(12):891-4. doi: 10.1002/bjs.1800561205.
9
[Pathogenesis of sigmoid diverticulitis and indications for resection treatment].[乙状结肠憩室炎的发病机制及切除治疗指征]
Langenbecks Arch Chir. 1967;318(2):134-60. doi: 10.1007/BF01439081.
10
Sigmoid myotomy for diverticular disease of the colon.乙状结肠肌切开术治疗结肠憩室病
Mod Trends Surg. 1971;3:109-35.