Langer S, Kupczyk D
Langenbecks Arch Chir. 1982;358:253-8. doi: 10.1007/BF01271793.
The healing of intestinal anastomoses has many physiological, biochemical and morphological aspects. In each stage it can be disturbed or blocked. Nearly each factor of normal healing can under changed circumstances, favour anastomotic dehiscence. Dehiscence can be caused by one severe disturbing factor; in most cases, however, there is more than one factor that forms rupture of the anastomosis. The intestine itself can become a disturbing factor as well as changed biological circumstances and last but not least insufficient tactics and techniques of building an anastomosis.
肠道吻合口的愈合涉及许多生理、生化和形态学方面。在每个阶段,它都可能受到干扰或阻碍。几乎正常愈合的每个因素在环境变化时都可能导致吻合口裂开。裂开可能由一个严重的干扰因素引起;然而,在大多数情况下,导致吻合口破裂的因素不止一个。肠道本身、生物学环境的变化,以及最后但同样重要的是,吻合技术和策略的不足,都可能成为干扰因素。