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[先天性小肠梗阻后肠吻合状况的远期结果]

[Late results of the interintestinal anastomosis condition after congenital obstruction of the small intestine].

作者信息

Noskov A P, Belen'kiĭ Iu S, Mazur V G

出版信息

Vestn Khir Im I I Grek. 1978 Aug;121(8):59-61.

PMID:695205
Abstract

The data concerning the late results of resection of the small intestine carried out for congenital small intestine ileus in 43 newborns are set forth. The results of an experimental study on 75 puppies subjected to resection of the small intestine with application of various anastomoses are covered in the article. The evaluation of late results suggests that end-to-end anastomosis is the best one; end-to-side anastomosis gives fair results, while side-to-side anastomosis is the least physiological one as it results in the formation of big "blind ducts", and the longlasting stasis of intestinal contents in these "blind ducts" leads to the development of various complication. The children, who underwent the small intestine resection, should be under dispensary and periodic clinical observation.

摘要

本文阐述了对43例因先天性小肠梗阻而行小肠切除术的新生儿的远期结果数据。文章还介绍了对75只幼犬进行小肠切除并应用各种吻合术的实验研究结果。对远期结果的评估表明,端端吻合是最佳方法;端侧吻合效果尚可,而侧侧吻合最不符合生理,因为它会导致形成大的“盲管”,这些“盲管”内肠内容物长期淤滞会引发各种并发症。接受小肠切除的患儿应接受门诊和定期临床观察。

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