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[高危手术患者胆囊管腔的化学性黏液溶解及闭塞(实验研究)]

[Chemical mucolysis and obliteration of the gallbladder lumen in high surgical risk patients (experimental study)].

作者信息

Shurkalin B K, Ermolov A S, Guliaev A A, Udovskiĭ E E, Iurchenko S V, Karimov T M, Ponomarev V G, Eliseenko V I, Luré B L

出版信息

Khirurgiia (Mosk). 1993 Apr(4):38-43.

PMID:8084167
Abstract

A method for obliteration of the gallbladder, based on its mucoclasis with phenol preparations, was developed in experiments on unbred dogs. The safety of using preparations based on phenol for chemical demucosation of the gallbladder is demonstrated. The suggested method may serve as a prototype for the development of similar interventions in clinical practice in acute cholecystitis and cholelithiasis after endoscopic cholecystostomy and cholecystolithoextraction. The method was used in clinical practice in 3 patients with acute calculous cholecystitis and severe concomitant pathology and a high operative-anesthesiological risk.

摘要

在未经选育的犬类实验中,开发了一种基于用苯酚制剂进行胆囊黏膜剥脱的胆囊闭塞方法。证明了使用基于苯酚的制剂对胆囊进行化学去黏膜化的安全性。所建议的方法可作为在急性胆囊炎和胆石症患者经内镜胆囊造口术和胆囊取石术后临床实践中开发类似干预措施的原型。该方法已应用于3例急性结石性胆囊炎且伴有严重合并症及高手术麻醉风险的患者的临床实践中。

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