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[T形吻合术治疗新生儿急性肠梗阻]

[T-shaped anastomosis in treating acute intestinal obstruction in newborn infants].

作者信息

Doroshevskiĭ Iu L, Nemilova T K

出版信息

Vestn Khir Im I I Grek. 1979 Dec;123(12):75-9.

PMID:524697
Abstract

Newborns with the ileus caused by developmental defects of the digestive tract have, as a rule, suprastenotic dilatations of all the intestine or a considerable part of it higher than the ileus zone and a great difference in the width of the lumen of the intestine portions left after resection of the injured area. In the Center of Developmental Defects of Newborns 190 patients with ileus have been treated for the recent 10 years. In 37 cases T-shaped bypass anastomosis was used which has considerable advantages over "dead" anastomosis. T-shaped ileostomy allows unloading the dilated adducting part of the intestine overfilled with the contents in early terms after operation and simultaneously fulfilling "the feeding" into the abducting part of the intestine.

摘要

由消化道发育缺陷引起肠梗阻的新生儿,通常在肠梗阻部位上方的全部肠道或大部分肠道存在狭窄上方扩张,且切除损伤区域后剩余肠段管腔宽度差异很大。在新生儿发育缺陷中心,近10年共治疗了190例肠梗阻患儿。其中37例采用了T形旁路吻合术,该术式比“端端”吻合术具有显著优势。T形回肠造口术能在术后早期使充满内容物而扩张的近侧肠段减压,同时实现向远侧肠段“喂食”。

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