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模拟肿瘤的缝线肉芽肿:一种可预防的胃切除术后并发症。

Suture granulomas simulating tumors: a preventable postgastrectomy complication.

作者信息

Gueller R, Shapiro H A, Nelson J A, Bush R

出版信息

Am J Dig Dis. 1976 Mar;21(3):223-8. doi: 10.1007/BF01095894.

DOI:10.1007/BF01095894
PMID:773174
Abstract

Suture granulomas can occur after gastric surgery with nonabsorbable suture material. They are usually an asymptomatic, incidental finding on post-surgical x-ray studies, but have to be recognized because their radiological appearance may mimic gastric neoplasms and therefore may lead to unnecessary reoperations. Four cases of suture granulomas are presented, their diagnostic criteria outlined, and a plea is made for the use of a new completely absorbable suture material which could eliminate the occurrence of suture granulomas as well as the other known complications related to nonabsorable sutures, such as suture-line ulcers, abscesses, and adhesions.

摘要

使用不可吸收缝合材料进行胃手术后可能会出现缝线肉芽肿。它们通常是在术后X线检查中偶然发现的无症状病变,但必须予以识别,因为其放射学表现可能类似胃肿瘤,从而可能导致不必要的再次手术。本文报告了4例缝线肉芽肿病例,概述了其诊断标准,并呼吁使用一种新型的完全可吸收缝合材料,这种材料可以消除缝线肉芽肿的发生以及与不可吸收缝线相关的其他已知并发症,如缝线溃疡、脓肿和粘连。

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1
Suture granulomas simulating tumors: a preventable postgastrectomy complication.模拟肿瘤的缝线肉芽肿:一种可预防的胃切除术后并发症。
Am J Dig Dis. 1976 Mar;21(3):223-8. doi: 10.1007/BF01095894.
2
Suture granuloma of the stomach following total colectomy.全结肠切除术后胃缝线肉芽肿
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Suture granuloma of the stomach following splenectomy.脾切除术后胃缝线肉芽肿
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Paravesical suture granuloma: a problem following herniorrhaphy.膀胱旁缝线肉芽肿:疝修补术后的一个问题。
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[Suture threads in the pathology of the operated stomach].
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Suture granuloma showing false-positive finding on PET/CT after head and neck cancer surgery.
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[Diseases caused by sutures following stomach operations--yes or no?].[胃部手术后缝线引发的疾病——是与否?]
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Leakage at suture lines after partial gastrectomy for peptic ulcer.消化性溃疡部分胃切除术后缝合线处渗漏。
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引用本文的文献

1
Suture granuloma simulating lung neoplasm occurring after segmentectomy.肺段切除术后出现的模拟肺部肿瘤的缝线肉芽肿
Thorax. 1993 Apr;48(4):405-6. doi: 10.1136/thx.48.4.405.

本文引用的文献

1
Jejunal and Gastrojejunal Ulcer following Gastrojejunostomy, with Notes of Two Cases, in one of which Gastric Analyses were made before and after Operation for Jejunal Ulcer, with an Abstract of Sixty-one other Cases and Observations thereon.胃空肠吻合术后的空肠和胃空肠溃疡,附两例记录,其中一例在空肠溃疡手术前后进行了胃液分析,并附其他六十一例病例摘要及相关观察结果。
Proc R Soc Med. 1909;2(Surg Sect):238-310. doi: 10.1177/003591570900201511.
2
THE INFLUENCE OF SUTURE MATERIALS AND METHODS ON THE HEALING OF ABDOMINAL WOUNDS.缝合材料与方法对腹部伤口愈合的影响
Br J Surg. 1965 May;52:372-5. doi: 10.1002/bjs.1800520515.
3
Postoperative plication deformity with foreign-body granuloma simulating tumour of the stomach: report of three cases.
术后胃折叠畸形伴异物肉芽肿酷似胃部肿瘤:三例报告
Acta Chir Scand. 1962 Feb;123:125-31.
4
The roentgen appearance of the stomach and duodenum following the Billroth I gastric resection.毕罗氏I式胃切除术后胃和十二指肠的X线表现。
Am J Roentgenol Radium Ther Nucl Med. 1959 Apr;81(4):576-81.
5
False recurrences caused by silk sutures following operations for cancer of the alimentary tract.消化道癌手术后丝线缝合引起的假性复发
Acta Chir Scand. 1955 Sep 23;109(5):351.
6
Surgery and peptic ulceration and its complications.手术与消化性溃疡及其并发症。
Postgrad Med J. 1954 Sep;30(347):448-65. doi: 10.1136/pgmj.30.347.448.
7
Suture line ulcer after gastric surgery.胃手术后的缝线处溃疡
Am J Surg. 1968 Apr;115(4):477-81. doi: 10.1016/0002-9610(68)90190-6.
8
Classification of the post-gastrectomy syndromes based on observation of 580 patients.基于对580例患者的观察对胃切除术后综合征进行分类。
Ala J Med Sci. 1971 Jan;8(1):50-66.
9
The use of a new absorbable suture material (polyglycolic acid) in general surgery.一种新型可吸收缝合材料(聚乙醇酸)在普通外科手术中的应用。
Br J Surg. 1970 Dec;57(12):917-20. doi: 10.1002/bjs.1800571212.
10
Suture-line ulcer after gastric surgery caused by non-absorbable suture materials.不可吸收缝合材料导致的胃手术后缝线溃疡
Br J Surg. 1970 May;57(5):356-8. doi: 10.1002/bjs.1800570510.