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[实验条件下折叠手术的比较研究]

[Comparative studies of plication surgery under experimental conditions].

作者信息

Fedor E

出版信息

Z Exp Chir. 1982 Jul;15(4):219-28.

PMID:7136102
Abstract

Adhesions of the small intestine were produced by scarification in 43 dogs. The 38 surviving animals were relaparotomised after 3 weeks and the adhesions were separated. Afterwards the Noble operation in 11 animals, the modified operation by Childs in 10 animals, the interior splinting of the small intestine by Reifferscheid-Phillipp in 10 animals, and the simple closure of the abdominal cavity in 7 animals (control group) were carried out. The autopsy was performed 1 to 8 weeks after the operation. The intestine was in perfect plication order after the noble operation. Overlapping of loops without complications were existing after the operation by Childs. Unsystematic fixations without kinking were observed after the interior splinting, but in one case no adhesion was visible after 2 months and in another case a heavy inflammation of the abdominal wall was caused by the splint. Kinking, unsystematic fixation, and wide lumina without ileus were discovered in the control group. - The Noble operation is expanding with reference to the time. The operation by Childs is a simple and short-term operation. The interior splinting under experimental circumstances is a lengthy and traumatising procedure in the opinion of the author.

摘要

通过划痕法在43只犬身上造成小肠粘连。3周后对38只存活的动物再次剖腹,分离粘连。之后,对11只动物进行诺布尔手术,对10只动物进行蔡尔兹改良手术,对10只动物进行赖弗沙伊德 - 菲利普小肠内夹板固定术,对7只动物(对照组)进行腹腔单纯关闭术。术后1至8周进行尸检。诺布尔手术后肠管呈完美的折叠状态。蔡尔兹手术后肠袢重叠且无并发症。内夹板固定术后观察到无扭结的非系统性固定,但有1例在2个月后未见粘连,另1例因夹板导致腹壁严重炎症。对照组发现有扭结、非系统性固定和无肠梗阻的宽大管腔。——诺布尔手术在时间方面有扩展。蔡尔兹手术是一种简单且短期的手术。根据作者观点,在实验情况下进行内夹板固定术是一个冗长且有创伤的过程。

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