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[肠道吻合术中的关键区域与缝合不完整]

[Critical areas and suture incompetence in interintestinal anastomoses].

作者信息

Sigal M Z, Ramazanov M R

出版信息

Vestn Khir Im I I Grek. 1993 Jul-Dec;151(7-12):35-8.

PMID:7975014
Abstract

Clinical observations confirming the presence of critical zones in blood supply of the intestine are presented. It was shown that exclusion of the vessels of the right half of the colon is responsible for the disturbance of blood supply in the terminal part of the small intestine. Suture bands should be displaced to the level at which the intramural pressure ensures the viability of the intestine in the anastomosis zone. This should be taken into account in resections of the transverse colon, left-side hemicolectomy, abdominal resection and frontal resection of the rectum.

摘要

本文呈现了证实肠道血液供应存在关键区域的临床观察结果。结果表明,结肠右半部分血管的阻断会导致小肠末端血液供应紊乱。缝合带应移位至壁内压力可确保吻合区域肠道存活的水平。在横结肠切除、左侧半结肠切除、腹会阴联合直肠切除和直肠前切除术中均应考虑这一点。

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